食管内置放金属支架的选择  

The Choice of Intra-esophageal Metallic Stent

作　　者：王志纯[1] 张德昌[1] 马贵[1] 李世红[1] 艾书跃[1] 舒卒[1] 李士建[1] 

机构地区：[1]解放军第414医院放射科,江苏南京210015

出　　处：《实用放射学杂志》2003年第5期452-454,共3页Journal of Practical Radiology

摘　　要：目的　严格掌握食管内支架置放适应证 ,提高金属支架的放置效果。方法　经胃镜在X线电视下植入 ,选用 2种材料支架 ,对 72例食管 (食管、胃连接部 )良恶性狭窄 ,共置放 83根金属支架。结果　置放支架均一次成功。以被覆镍钛合金支架效果较好。患者的生活质量均得到提高。结论　失去手术治疗机会 (包括放射治疗 )的晚期肿瘤或肿瘤手术后 (复发 ) ,而引起管腔狭窄的患者可首选食管内支架置放术 ,良性狭窄慎用此术 ,无被覆支架不宜采用。Objective To further control the indications and to improve the effect of intra-esophageal metallic stents.Methods 83 metallic stents were be planted into esophageal through endoscopy and under X-ray TV guiding using two kinds of stent meterials in 72 cases with benign or maligant stenosis(esophageal,cardiac orifice).Results The operation of planting stents was successful in all patients and the effect of treatment of esophageal stenosis with stents covered by dacron kint membrane was best.The clinical symptoms and food intaking ablities of all patients were improved.Conclusion Home-made nitinol stents can be plant in treatment of malighent esophageal stenosis.It should be first choice for the patients without indications of surgery or after operation.

关 键 词：食管内支架置入术 金属支架 食管狭窄 X线电视 胃镜 

分 类 号：R655.4[医药卫生—外科学] R815[医药卫生—临床医学]