国产带膜食管支架治疗食管恶性狭窄的疗效观察

Observations on Therapeutical Results of Esophageal Malignant Stricture Treated with China-made Covered Stent

目的：评价国产带膜网状金属内支架治疗食管恶性狭窄和瘘的疗效及并发症。方法：本组47例，均为失去手术时机或有手术禁忌证的恶性肿瘤患者，其中3例食管瘘，27例食管恶性狭窄，17例贲门和吻合口狭窄，在X线电视透视下共置入国产带膜网状支架48枚。结果：内支架置入全部一次成功，无即刻并发症，术后患者狭窄改善，饮食得到恢复，瘘道封闭，有效率达100％。随访结果示支架移位3例，脱落胃内1例，23例死于癌肿晚期，生存期5～23个月，与疾病性质和相关治疗情况有关。结论：国产带膜食管内支架治疗食管恶性狭窄是安全有效的，其方法简单，并发症少，可提高患者的生存质量，是一种值得推广的治疗方法。

Objective： To evaluate the clinical results and complications of esophageal malignant stricture or fistula treated with China-made covered stent. Methods： Stent implantation was performed under fluoroscopy in 47 cases with esophageal malignant stricture,which included the esophagobronchial fistula （3 cases）, esophageal carcinoma （27 cases）, esophagogastric anastomotic stenosis and cardiac carcinoma （17 cases）, with 48 covered stents in total. Results： Stent placement was successful in all patients at the first trial without any instant complications. After the operations,sufferers＇ stric ture got well and their dietetic function was turning normal. The fistula was also closed. Total effective rate was 100%. The long-term curative effects were related with disease kind and treatment circumstance. Conclusion：Treating esophageal malignant stricture with covered stent is safe and effective. It can obviously increase the life quality of the sufferer.