超细胃镜直视下植入食管支架在治疗食管癌中的应用分析  

Application of Superfine Gastroscope under Direct Vision Implantation for Esophageal Stent in the Treatment of Esophageal Cancer

作　　者：戴文华 阮冠立 陈文丽 何惠娇 张明霞 林丽秋 林少云 DAI Wenhua;RUAN Guanli;CHEN Wenli(Zhangpu Hospital,Zhangpu 363208,China)

机构地区：[1]漳浦县医院,福建漳浦363208

出　　处：《中外医学研究》2019年第4期22-23,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:研究超细胃镜直视下植入食管支架在治疗食管癌中的应用效果。方法:本次研究对象为2016年11月-2017年11月笔者所在医院接收的50例食管癌患者,实施超细胃镜直视下食管支架植入术治疗,观察患者的支架放置成功率、胃镜通过狭窄情况和并发症发生情况,对比手术前后吞咽困难情况。结果:50例食管癌患者扩张后胃镜通过狭窄率、支架放置成功率均为100%;且手术后患者的吞咽困难情况较手术前明显缓解,与手术前比较,0级和1级例数较多,比较差异有统计学意义(P<0.05);患者均未发生严重并发症。结论:在食管癌患者治疗中采用超细胃镜直视下食管支架植入术安全有效,可较好地改善患者吞咽困难的症状。Objective:To study the effect of esophageal stent implantation under ultrafine gastroscopy in the treatment of esophageal cancer.Method:A total of 50 patients with esophageal cancer received in our hospital from November 2016 to November 2017 were treated with esophageal stent implantation under ultrafine gastroscope.The success rate of stent placement,the stenosis of gastroscope and complications were observed and compared before and after operation.Result:The success rate of stent placement and gastroscopic stenosis after dilation in 50 patients with esophageal cancer were 100%.The dysphagia of 50 patients with esophageal cancer after operation was significantly relieved compared with that before operation,compared with pre-operation,there were more cases of grade 0 and grade 1,the differences were statistically significant(P<0.05).And there was no serious complications occurred.Conclusion:Ultrafine gastroscopic esophageal stent implantation is safe and effective in the treatment of esophageal cancer patients,and can improve the symptoms of dysphagia.

关 键 词：食管癌 超细胃镜 食管支架 应用效果 

分 类 号：R735.1[医药卫生—肿瘤]