经胃镜下食管内支架置入术治疗食管癌伴狭窄或伴食管瘘的临床评价  

Clinical evaluation of endoscopic esophageal stent implantation for esophageal cancer with stenosis or esophageal fistula

作　　者：章欢[1] 李翠红[1] 黄文瑜[1] 

机构地区：[1]江西省九江市第一人民医院消化一科,江西九江332000

出　　处：《中国当代医药》2017年第30期40-42,共3页China Modern Medicine

摘　　要：目的探讨对食管癌伴狭窄或伴食管瘘患者实行经胃镜下食管内支架置入术的临床疗效。方法选取2010年9月~2017年8月在我院接受治疗的50例食管癌伴狭窄或伴食管瘘患者进行研究,按照治疗方法的不同分为,观察组和对照组,各25例。对照组予以胃镜下扩张器扩张治疗,观察组予以经胃镜下食管内支架置入术治疗,治疗结束后,对两组患者治疗前后吻合口直径、短期疗效、狭窄处口径、复发率以及并发症发生率进行比较。结果观察组患者吻合口直径、短期疗效、狭窄处口径明显高于对照组,复发率以及并发症发生率明显低于对照组(P<0.05)。结论食管癌伴狭窄或伴食管瘘患者采取经胃镜下食管内支架置入术治疗的短期疗效显著,安全性较高,复发率低、并发症较少,可有效解决食管狭窄问题,值得临床推广应用。Objective To investigate the clinical effect of endoscopic esophageal stent implantation in patients with esophageal cancer with or with esophageal fistula.Methods 50 patients with esophageal cancer with or without esophageal fistula were enrolled in our hospital from September 2010 to August 2017.All patients were divided into two groups according to the treatment method,25 cases in each group.The observation group was treated with esophageal fistula,the control group was treated with endoscopic dilator dilatation.After treatment,the anasomotic diamcter,short-teral carative effect,recurrence rate and the incidence of complications were compared between the two groups.Results The anastomotic diameter, short-term curative effect and stenosis of the observation group were significantly higher than those of the control group.The recurrence rate and complication rate were significantly lower than those in the control group （P〈0.05）.Conclusion Esophageal cancer with stenosis or esophageal fistula patients with endoscopic esophageal stent implantation treatment of short-term effect is significant,with high safety,lower recurrence rate and less complications,can effectively solve the problem of esophageal stenosis,worthy of clinical promotion application.

关 键 词：胃镜 食管内支架置入术 食管癌 狭窄 食管瘘 临床疗效 

分 类 号：R735.1[医药卫生—肿瘤]