摘要
目的探讨食道覆膜支架在食道癌术后食道胸膜瘘及吻合口狭窄中的应用价值;方法对18例食道癌术后出现吻合口狭窄,狭窄程度不等,其中5例合并食道胸膜瘘行食道覆膜支架置入术;结果所有病例成功扩张并堵瘘。结论食道覆膜支架为食道癌术后食道吻合口狭窄和(或)瘘的有效治疗方法之一。
[Objective] To seek an effective method and to evaluate the efficacy of metallic stent placement in the patients with anastomotic strictures and fistula after esophagectomy. [Methods ]Metallic stents were implanted in 18 patients~ of whom, 5 cases were complicated with anastomotic leakage and strictures. The diameter of the strictures was from 3 to 5mm, with the average 2.5± 1.2cm. The stents were implanted under fluoroscopic guidance after the target lesion was confirmed and dilated by the balloon catheter, and then a post-stent dilation was performed with a balloon catheter. ]Results ]The technical successful rate was 100%. ]Conclusion] Esophagus tectoria membrane stents placement is an effective way for treating post-operation strictures and fistula.
出处
《当代医学》
2009年第29期574-576,共3页
Contemporary Medicine
关键词
食管肿瘤
吻合口狭窄
支架
治疗
Esophagus neoplasms
Anastomotic strictures
Stent
treatment
