食管上段狭窄球囊扩张及内支架治疗的临床疗效(附47例报告)

Clinical result of balloon dilatation and stent for esophageal upper segment stenosis(report of 47 cases)

目的:探讨食管上段良、恶性狭窄行球囊扩张及内支架治疗的临床疗效。方法:对4 7例食管上段恶性狭窄4 4例,良性狭窄3例行食管球囊扩张及内支架置入,以食管钡餐造影及纤维内窥镜检查随访。结果:4 4例食管上段术后狭窄位于颈段食管2 1例,胸段食管2 3例行球囊扩张并行食管内支架,随访1～38个月,术后生存时间平均7～8个月。3例食管上段化学灼伤良性狭窄,狭窄均位于胸段,随访1～3年,患者进食无异常。结论:食管上段良。

Objective:To evaluate the effective of balloon dilatation and stent implanatic for benign and malignant upper segment esophageal stenosis.Methods:Balloon dilatation and stent implantation were performed in 47 patients with esophageal upper segment stenosis of which 3 cases were benign oesophageal stenosis and 44 cases were malignant oesophageal stenosis.Results:For malignant cases,during a follow-up period of 1～38 months,44 cases died with a mean survival period of 7.8 months (1～38months).Among 44 cases ,there were 21 at the cervical esophageal,and 23 cases were at the chest esophageal.For the 3 benign cases (chemical burn),there were no abnormal during follow-up period of 1～76 months.Conclusion:Balloon dilatation and stent implantation were effective treatment for benign and malignant esophageal stenosis.