摘要
目的 探讨带膜内支架置入治疗晚期食管癌所致食管恶性狭窄及伴有食管-气管瘘、食管-纵隔瘘的临床应用价值 方法 23例晚期食管癌患者，男17例，女6例，7例合并食管-气管瘘，1例合并食管-纵隔瘘，均在透视下一次性成功置入自膨式带膜内之架。结果 15例单纯性食管抉窄患者内支架置入后，吞咽困难得以缓解．进食级别提高2～3级：合并有食管-气管瘘患者7例、食管-纵隔瘘患者1例在置入带膜内支架后，瘘口完全封闭通过后期抗感染治疗，肺炎和纵隔炎症得以有效控制。结论 带膜内支架置入是治疗晚期食管癌所致的食管狭窄和封堵食管-气管、食管-纵隔瘘瘘口．解决患者进食困难，增加营养的有效方法。其方法简单、安全，近期效果显著，无明显并发症发生。
Objective To evaluate the clinical value and safety of intraluminal stent as a treatment of malignant stenosis of esophagus and esophago - bronchial fistula beeause of late stage esophageal cancer. Methods Self - expanding covered stents were snccessfully deployed in 23 patients（ 17 male and 6 female） suffering from late stage esophageal cancer under DSA guidance. Esophago - bronchial fistula oeeurred in 7 cases, and mediastinal fistula occurred in 1 case. Results In 15 patients sufered from only the stenosis of digestive tract ,function of swallowing was restored after the stent was placed in stenosis segnlent,and file grade of dieting was improved by 2 - 3 classes, Symptoms of 8 cases accompanied with esophago - bronchial fistula were relieved after stenting,and their fistula were completely occluded. The pneumonia was effectively eontrolled by antibiotics. Conclusion It is an effective, easy and safe method to treat malignant stenosis of digestive tract or esophago- bronchial fistula using covered stents. There is no major complication.
出处
《中原医刊》
2008年第7期20-21,共2页
Central Plains Medical Journal
关键词
食管癌
恶性狭窄
支架
Esophago cancer
Malignant stenosis of esophago
Covered stents
