内镜下覆膜食管支架治疗食管癌性狭窄及食管气管(纵膈)瘘的临床应用价值  

Clinical application value of endoscopic covered esophageal stent in the treatment of cancerous esophageal stenosis and esophagotracheal(mediastinal)fistula

作　　者：曾德辉[1] 曾安祥[1] 王胜炳[1] ZENG Dehui;ZENG Anxiang;WANG Shengbing(Department of Gastroenterology,Meizhou People’s Hospital,Guangdong,Meizhou 514031,China)

机构地区：[1]广东省梅州市人民医院消化内科,广东梅州514031

出　　处：《中国医药科学》2020年第7期287-290,共4页China Medicine And Pharmacy

摘　　要：目的探讨内镜下覆膜食管支架治疗食管癌性狭窄及食管气管(纵膈)瘘的临床应用价值。方法选取2015年6月~2019年1月我院收治的食管癌性狭窄及食管气管(纵膈)瘘患者84例,随机数字表法分为两组,对照组应用鼻空肠管治疗,观察组应用覆膜食管支架治疗。比较两组临床效果、进食情况、并发症情况。结果观察组临床效果优于对照组(P<0.05);观察组进食情况优于对照组(P<0.05);观察组并发症少于对照组(P<0.05)。结论内镜下放置覆膜食管支架治疗食管癌性狭窄及食管气管(纵膈)瘘临床疗效好,生存质量改善较明显,值得临床推广应用。Objective To investigate the clinical application value of endoscopic covered esophageal stent in the treatment of cancerous esophageal stenosis and esophagotracheal(mediastinal)fistula.Methods 84 patients with cancerous esophageal stenosis and esophagotracheal(mediastinal)fistula admitted and treated in our hospital from June 2015 to January 2019 were selected,and divided into two groups using to the random number table method.The control group was treated with nasojejunal tube,while the observation group was treated with covered esophageal stent.The clinical effect,feeding status,and complications of the two groups were compared.Results The clinical effect of the observation group was better than that of the control group(P<0.05);The feeding status of the observation group was better than that of the control group(P<0.05);And the complications in the observation group were less than those in the control group(P<0.05).Conclusion Endoscopic placement of covered esophageal stent in the treatment of cancerous esophageal stenosis and esophagotracheal(mediastinal)fistula has a good clinical efficacy,and the quality of life has improved significantly,which is worthy of clinical promotion and application.

关 键 词：内镜 覆膜食管支架 食管癌性狭窄 食管气管(纵膈)瘘 并发症 

分 类 号：R735.1[医药卫生—肿瘤]