摘要
目的:对颈段食管恶性狭窄内支架置入方法的探讨及术后临床疗效的观察。方法:对13例颈段食管癌患者分别置放金属支架的方法及疗效进行了回顾性分析。结果:其中7例未做术前CT或MRI检查的患者中,有2例支架置放后压迫气管引起呼吸困难,1例未能及时取出而窒息死亡,2例置入"Z"型支架2周后食道出血,其中1例死亡。6例术前行CT或者MRI检查的患者,示狭窄周围软组织有不同程度的增厚,其中2例明显造成对气管的压迫,此时选择柔软性支架或适当内径,对压迫气管严重的行气管、食道支架同时置入术,其结果显示并发症明显减少。结论:颈段食道狭窄支架置入,能有效缓解病情,提高患者生存质量。术前病情评价、选择适宜支架及熟练操作能够有效提高食道支架治疗颈段食道狭窄的临床效果。
Objective The discussion of the stents＇ method in the malignant stricture of cervical esophagus and the postoperative observation of the clinical efficacy. Method： The retrospective analysis of the Methods of placing the metal stent respectively and curative effect for the 13 patients with esophageal cancer. Results After placing the two stents, oppressed the trachea and caused difficulty in breathing in the 7 patients without doing preoperative CT or MRI, showed the complication decrease obviously. Conclusion The stents＇ placement of the stricture of cervical esophagus can lessen the patient＇s condition effectively and improve the survival quality of the patients. The proficient operation of the preoperative evaluation of the patient＇s condition and the election of the appropriate stent can improve the clinical effect of treating the cervical esophagostenosis effectively.
出处
《吉林医学》
CAS
2010年第6期734-735,共2页
Jilin Medical Journal
关键词
食管狭窄
介入放射学
支架
esophagostenosis
interventional radiology
stent
