食管支架在食管狭窄中的临床应用探讨  

Clinical application of esophageal stent on esophageal stricture

作　　者：张树贤[1] 任玲[1] 徐静[1] 徐成好[1] 李祎[1] Zhang Shuxian;Ren Ling;Xu Jing;XU Chenghao;LI Wei(The First People`s Hospital of Lianyungang City,Lianyungang,Jiangsu 222000)

机构地区：[1]连云港市第一人民医院,江苏连云港222000

出　　处：《基层医学论坛》2018年第10期1312-1313,共2页The Medical Forum

摘　　要：目的探讨食管支架置入术治疗食管狭窄的临床效果。方法选取2012年1月—2017年1月在我院就诊的食管狭窄患者50例,观察患者支架置入后吞咽困难的改善情况、并发症及其处理。结果 48例一次性成功置入支架,1例取出并重新置入,1例狭窄严重,应用食管球囊扩张后成功置入支架。术后3 d患者吞咽困难症状明显改善(P<0.05),术后出血2例、支架移位3例、严重胸痛4例、术后再狭窄3例。结论内镜下食管支架置入术可有效缓解食管狭窄患者的吞咽困难症状,近期疗效好,并发症少,提高患者生活质量。Objective To investigate the efficacy of esophageal stent on esophageal stricture.Methods Esophageal stens were put into 50 esophageal stenosis patients selectes from January 2012 to January 2017,the dysphagia symptoms improvement aftet implant was observed.Results 48 cases were one time successful with right location.1case was removed and re-implanted.1case was severe stenosis,which was successful inserted after endoscopic probe dilation.Dysphagia were improved significantly 3 days aftet sugery.2 cases of bleeding,3 cases of srent displacement,4 cases of severe retrosternal pain,3 cases of restenosis.Conclusion Endoscopic stent placement may effectively relieve dysphagia symptoms in patients with esophageal stricture,with good short–term effect and fewer complictions,improve the quality of life.

关 键 词：食管狭窄 食管支架 置入术 临床效果 

分 类 号：R571[医药卫生—消化系统]