贲门失弛缓症腔内支架术的应用价值  

Evaluation of Esophageal Stent Implantation for Achalasia of the Cardia

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

机构地区：[1]解放军第414医院放射科,江苏南京210015

出　　处：《临床军医杂志》2004年第1期50-52,共3页Clinical Journal of Medical Officers

摘　　要：目的　探讨腔内支架术在治疗贲门失弛缓症中的应用价值。方法　对因贲门失弛缓症的患者进行腔内支架术的病例进行了回顾分析。患者共 8例、使用 2种支架材料 ,其中不锈钢支架 2根、镍钛合金支架 6根。支架均经胃镜在X线电视下植入。结果　置放支架均一次成功 ,解除了患者进食困难 ,经 1～ 5年不等的随访 ,5例出现返流性食管炎 (其中 3例发生不同程度的上消化道出血 )。 1例植入支架腔内再狭窄。结论　腔内支架术治疗贲门失弛缓症能疏通患者进食通道 ,改善患者进食能力 ,由于失去正常贲门功能 ,患者出现不同程度的返流性食管炎 ,甚至消化道出血 ,贲门失弛缓症的患者应慎用腔内支架术。Objective To evaluate esophageal stent implantation for achalasia of the cardia.Methods The data of eight patiens with stent because of achalasia of the cardia were analyzed retrospectively.There are two kinds of stents placed through the endoscopy under the guidance of the flouroscopic,including stainless steel stent(2 cases)and home-made nitinol stent(6 cases).Results All the stents were implanted successfully at the first time and the patients' food intaking abilities were improved. During the follow-up period from one year to five years, refluent esophagitis occurred in five cases (3 with upper digestive tract bleeding ),esophageal stenosis was found in one patient port stent implantation.Conclusion Intra-esophageal shaing for achalasia of the cardia improved patients' intaking abilities. Without the normal abilities of the cardia,esophageal stent should be implanted carcfully in the patients with achalasia of the cardia.

关 键 词：贲门失弛缓症 腔内支架术 外科治疗 上消化道出血 术后并发症 反流性食管炎 

分 类 号：R656.6[医药卫生—外科学]