内镜下置放记忆合金支架治疗食管贲门恶性狭窄66例报告

Clinical report about the technique of using nitinol alloy network stent to treat the malignant stricture of esaphageal and cardia

目的探索治疗晚期食管贲门恶性狭窄的介入治疗方法。方法对66例失去手术机会或拒绝手术的晚期食管贲门狭窄病人,均进行电子胃镜引导下放置镍钛合金支架;对狭窄程度重,胃镜不能通过者,先行Savary探条扩张,再放置支架。结果66例均成功置入支架,解除狭窄有效率为100%,4例食管-气管瘘者置入带膜支架后进食,呛咳即刻消失。结论该治疗方法简单,安全,可改善病人的生存质量,延长生存时间。

[Objective] To study the technique of treating the malignant stricture of esaphageal and cardia. [Method] 66 patients with unresectable malignant stricture of esophageal and cardia were treated with nitinol alloy network stent through gastroscope. For patients with serious stricture, stents were implanted after savary＇s dilation, [Result] Successful stent placement was achieved in 66 cases; The rate of improvement in stricture was 100%; 4 cases with digestive-respirotory fistulas were cured after stent placement. [Conclusion] Nitinol alloy network stent is a safe and efficacious method for treating malignant stricture, improve patients living quality and lengthen living time.