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食管支架治疗食管良恶性狭窄(附23例分析) 被引量:146

Esophageal Nitinol Stent in the Treatment of Benign and Malignant Esophageal Strictures(An Analysis of 23 Cases)
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摘要 作者总结了采用27根镍钛合金Ultraflex食管支架置入术治疗各种良恶性食管狭窄23例。其中食管化学烧伤后狭窄1例,食管-胃吻合口狭窄6例,食管和/或贲门癌16例。将吞咽困难分为0~3级。23例中,3级12例,2级11例。经治疗后,0级13例(56.52%),1级6例(26.08%),2级3例(13.04%),3级1例(4.35%)。其中,2级中的3例治疗前为3级,因此,总有效率为95.66%。支架置入后24~48小时随诊观察,支架膨胀满意19根(70.37%),中等满意7根(25.92%),不满意1根(3.70%)。无严重并发症出现。大大提高了生存质量。作者认为,这是一种方便、安全、有效的治疗方法,将有相当广阔的应用前景。 esophageal nitinol stents were used for palliative treatment of benign and malig-nant esophageal strictures in 23 patients. The strictures were caused by ingestion of alkali(n=1),esophageal carcinoma(n=16),and anastomotic stenosis(n=6).There were no serious stent-related complications in all patients.Symptoms of dysphagia were considerably relieved in 22 cases immediat- ly after stent insertion,Successful stent placement was achieved in 21 of 23 cases at the first trial,but at the second time the successful rate was 100%. In summary,the esophageal nitinol ultraflex stent appears to be effective,safe and is valuable in the treatment dysphagia in patients with benign or malignant esophageal strictures.
出处 《中华放射学杂志》 CAS CSCD 北大核心 1995年第7期465-468,共4页 Chinese Journal of Radiology
关键词 介入放射学 吞咽困难 食管狭窄 食管支架置入术 Interventional,radiologys Esophagus dysphagia
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