食管支架治疗食管良恶性狭窄（附23例分析）

Esophageal Nitinol Stent in the Treatment of Benign and Malignant Esophageal Strictures(An Analysis of 23 Cases)

作者总结了采用２７根镍钛合金Ｕｌｔｒａｆｌｅｘ食管支架置入术治疗各种良恶性食管狭窄２３例。其中食管化学烧伤后狭窄１例，食管－胃吻合口狭窄６例，食管和／或贲门癌１６例。将吞咽困难分为０～３级。２３例中，３级１２例，２级１１例。经治疗后，０级１３例（５６．５２％），１级６例（２６．０８％），２级３例（１３．０４％），３级１例（４．３５％）。其中，２级中的３例治疗前为３级，因此，总有效率为９５．６６％。支架置入后２４～４８小时随诊观察，支架膨胀满意１９根（７０．３７％），中等满意７根（２５．９２％），不满意１根（３．７０％）。无严重并发症出现。大大提高了生存质量。作者认为，这是一种方便、安全、有效的治疗方法，将有相当广阔的应用前景。

esophageal nitinol stents were used for palliative treatment of benign and malig-nant esophageal strictures in 23 patients. The strictures were caused by ingestion of alkali(n=1),esophageal carcinoma(n=16),and anastomotic stenosis(n=6).There were no serious stent-related complications in all patients.Symptoms of dysphagia were considerably relieved in 22 cases immediat- ly after stent insertion,Successful stent placement was achieved in 21 of 23 cases at the first trial,but at the second time the successful rate was 100%. In summary,the esophageal nitinol ultraflex stent appears to be effective,safe and is valuable in the treatment dysphagia in patients with benign or malignant esophageal strictures.