摘要
以食管支架放置术治疗食管狭窄11例,其中食管癌7例(2例合并食管支气管瘘),术后吻合口狭窄1例,化学灼伤2例,食管外伤合并食管颈部狭窄1例,术前均有明显吞咽困难,所有患者均一次置架成功,术后吞咽困难明显好转,食管瘘愈合2例,胸痛和返流性食道炎是最常见的术后并发症,2例发生再狭窄(16.7%),其中1例合并胸腔出口综合征。该法疗效确切,安全、经济。
Of 11 cases of esophageal stricture treated with esophageal stent,7 cases were caused by esophageal carcinoma(among them,2 cases were complicated with esophagobronchial fistula),1 contraction of by postoperative anastomotic stoma,2 by chemical burn,1 by rupture of esophague dua to explosive injury(complicated with esophago-neck fistula).Dysphagia occured in all cases. For all the patients,the laying.of stents was successful by only one,single attempt.The dysphagia was reduced considerably,and the 2 esophageal fistulae were healed.Pectoralgia and reflux esophagitis were the most common complications.Reobstruction occured in 2 cases(16.7%). The treatment was effective,safe and reasonable.
