金属覆膜内支架在高位食管狭窄中的应用  

Application of Metallic Stents in High Esophageal Stenosis

作　　者：张志勇[1] 贾广志[2] 尹华[2] 李建民[2] 王学静[2] 

机构地区：[1]内蒙古科技大学第一附属医院放射科,内蒙古包头014010 [2]内蒙古医学院附属医院介入放射科,内蒙古呼和浩特010050

出　　处：《内蒙古医学杂志》2004年第5期328-331,共4页Inner Mongolia Medical Journal

摘　　要：目的 :评价高位良恶性食管狭窄介入治疗的临床效果 ,探讨新的介入治疗方法的治疗效果。方法 :从 1999年 10月～ 2 0 0 3年 11月 ,我们分别对 17例高位食管狭窄病人行食管金属内支架置入术治疗 ,对治疗前后病人进食能力、并发症的出现进行评估和分析。其中 1例采用特殊形态定制支架。结果 :17例病人支架均置入成功 ,病人进食能力增强满意 ,吞咽困难评分由 3 2 9± 0 4 7降至 0 94± 0 2 4 ,且P <0 0 1,具有显著统计学意义。术前术后食管狭窄段直径测量由 0 4 6± 0 15扩张至 1 37± 0 17,P <0 0 1,具有显著统计学意义。结论 :①金属内支架治疗高位食管良恶性狭窄 ,对于提高病人生活质量 ,缓解狭窄症状是一种创伤小 ,安全有效的方法 ;②高位食管狭窄的金属内支架治疗突破了食管支架治疗高位食管狭窄的禁区 ,并取得了满意的疗效 ;③特殊形态支架扩张满意 ,无移位 ,封堵瘘口确实 。Objective:To evaluate the clinical therapeutic outcome of former and late interventional techniques for benign and malignant high esophageal stenosis.Method:From October 1999 to November 2003,17 cases with high esophageal stenosis were treated with esophageal implanatation of metallic stents,including 1 special one.The phago ability and complications pre and post operation were evaluated and analyzed.Results:In 17 cases,stents were implanated successfully,their phaso abilities were satisfied.The rare of dysphagy decreased significantly from 3.29±0.47 to 0.94±0.24(P<0.01).The diameter of stenosed esophagi increased from 0.46±0.15 to 1.37±0.17(P<0.01).Conclusions:①Metallic stenting is a minitrauma,safe and effecitive technique for benign and malignant high esophageal stenosis.It can improve life quality and remit symptom of stenosis.②Metallic stenting posses obvious effect on high esophageal stenosis.③The special stent dilates effectively without displacement,with clearly obstructing fistula and less complications.

关 键 词：食管狭窄 金属内支架 放射学 介入性治疗 

分 类 号：R571.1[医药卫生—消化系统] R81-05[医药卫生—内科学]