食管恶性狭窄的治疗  

Treatment of malignant stricture of esophagus

作　　者：张永红 王莹 肖辉[2] 

机构地区：[1]陕西省渭南市中心医院消化内科,陕西渭南714000 [2]中国人民解放军第518医院,陕西西安710043

出　　处：《现代肿瘤医学》2003年第3期198-199,共2页Journal of Modern Oncology

摘　　要：目的　探讨食管癌恶性狭窄支架置入的方法及其临床疗效。方法　所有患者先行钡餐或口服泛影葡胺检查 ,了解食管狭窄的部位、程度 ,经扩张后 ,在内镜或X线下按常规方法置入食管支架。术后应用抗菌素、抑酸、粘膜保护剂、促胃肠动力药物治疗。结果　 31例食管恶性狭窄和合并瘘的患者均一次操作成功 ,术后恶性狭窄再通率 10 0 %。术后有 80 6 %患者胸痛、异物感 ,返流性食管炎发生率 2 2 6 %。结论　食管支架置入术是治疗食管癌恶性狭窄的一种微创姑息治疗术 ,可达到缓解梗阻 。Objective To explore,the method of placeing structure stents and clinical therapy for malignant stricture of esophagus. Methods All patients were first examined by X-ray to observe the position and extention of the stricture,then the structure stents was put into esophagus under endoscope .After operation ,antibiotics ,acid suppression, protector of membrane,prokinetic agente were used. Results thirty one cases of malignant stricture into esophagus were successfully treated,there were thoracic pain,sense of unusual thing in 80.6 percent,and reflux esophagitis in 22.6 percent after operation. Conclusion The operation of placing structure stents into esophagus is an uneradicated treatment of malignant stricture of esophagus for releasing stricture and prolonging life.

关 键 词：食管恶性狭窄 支架置入术 疗效 微创姑息治疗术 带膜记忆合金支架 

分 类 号：R735.1[医药卫生—肿瘤]