防返流吻合口支架治疗食管术后狭窄

Anti - reflux Stoma Stent in The Teatment of Postoperative Esophagus Stenosis

目的:对传统的食管吻合口支架进行改进。方法:根据食管胃吻合口区的特殊解剖结构和吻合口狭窄的病变特点,对传统吻合口支架进行了一系列改进。透视下对42例食管癌、胃癌手术后吻合口狭窄的患者置放42枚防返流吻合口支架。结果:防返流吻合口支架可显著减轻病人置入支架后的疼痛、呕吐及胃液返流等症状,也可减少／减轻其食管再狭窄和支架移位等并发症,同时不影响对病人吞咽困难的改善。结论:防返流吻合口支架特点明显,对治愈食管癌、胃癌术后吻合口狭窄是一种比较理想的支架。

Objective： To reform traditionary esophageal stoma stent. Methods：According to spectial anatomic structure of esophageal stoma and pathological changes of stoma stenosis, to reform traditionary esophageal stoma stent, We inserted anti - reflux stoma stents into postoperative stoma stenosis of 42 patients esophageal and gastric carcinoma on perspective. Results：Anti - reflux stoma stent can obviously lessen symptom such as patin,vomiting,gastric juice reflux and also reduce or palliate the complication like esophagus restenosis,stent displace, without influence on the improvement of dysphagia. Conclusion：Anti- reflux stoma stent is ideal and has excellent feature to treatment postoperative stoma stent of esophageal and gastric carcinoma.