高位食管内支架的临床应用

The clinical application of upper esophageal stent

目的 探讨食管内支架置入治疗高位食管疾病的可行性。方法 2 6例高位食管疾病个体化选择食管内支架。透视下 ,以梨状隐窝下极作为解剖学标志 ,放置食管内支架上缘距梨状隐窝下极至少 2 0mm。结果 食管内支架置入技术全部成功 ,内支架置入后即刻口服 38%泛影葡胺造影显示梨状隐窝下极距支架上缘 2 0mm以上 ,狭窄解除或瘘口封堵完全 ,患者能够正常进食 ,无明显并发症。结论 采用梨状隐窝下极定位法放置高位食管内支架准确。

Objective To study the feasibility of treating upper esophageal disease with stent placement.Methods The esophageal stent was selected on the bases of the character-istics, length, sites of 26 patients with upper esophageal diseases. Stents were placed under the fluoroscopic guidance. Results All stents were placed successfully. The distance between inferior piriform recess pole and superior edge of stent was no less than 20 mm. Patients could take food normally after the procedure with no severe complications. Conclusions This method is accurate and reasonable for localization of stent placement in the upper esophageal disease according to the level of inferior piriform recess pole.