暂时性食道覆膜防返流支架治疗贲门失弛缓症

Treatment of Achalasia with Temporary Coated Self-expanding Esophageal Stent

目的 探讨暂时性食道覆膜防返流支架治疗食道贲门失驰缓症的应用。方法 选择32例贲门失驰缓症患者进行支架治疗。在电透下，将导丝置入胃内，沿导丝将置入器缓慢送入，缓慢释放后，取出导丝和置入器，将回收线拉紧经鼻腔固定于耳廓上。两周时取出支架并复查钡餐。结果 全部手术一次成功，术后有不同程度胸骨后钝痛，持续5-7天，用止痛药能缓解，两周时取出支架顺利，食道钡餐示狭窄有不同程度歼放，达到10-15mm以上，术后3月、6月、12月随访。最长者达36月。结论 暂时性食道支架治疗贲门失驰缓症有效、安全、简便、并发症少，不用住院即可手术，值得推广应用。

Objective To evaluate the method and curative effect of achalasia with temporary coted self-expanding esophageal stent. Methods There were 32 patients who were achalasia to treat bystent. Strong wire was entered through mouth in fluoroscopy and put the stent to the disease sites, and then stent were released slowly. The return silk was tightened in one auricle through the same side nose. Stent were take out and followed up by fluoroscopy after two weeks later. Results All operations succeeded in one time. They all had dull pain at the back of breast bone, which continued 5 - 7 days, and alleviated by acesodyne. Stents put out successfully after two weeks later. The stenoses were patency in different degree, achieved 10 - 15mm. All patients followed up after three month , six month and 12month. The longest was 36 months. Conclusion Temporary coated self-expanding esophageal stent treat achalasia is a new way to study and popularize, this technology is effective ,simple, repetition and cheap. The complications are few and the operation can practise in out-patient.