食管狭窄及食管-气管瘘内支架置入的临床应用

Clinical Application of the Esophageal Stenosis and Esophagobronchial Fistula by Treatment with Stent

目的探讨内支架置入在食管狭窄及食管-气管瘘的效果,总结内支架置入的适应症及临床应用。方法本组40例,置入支架先行食管造影检查,并用X线显影尺精确定位后行支架置入。结果除1例外,全部支架置入成功,患者吞咽功能均缓解,瘘口完全封堵,恢复正常进食,肺部感染得以控制。结论食管内支架在治疗食管狭窄及食管-气管瘘方面,疗效可靠,并发症少。

Objective To explore the effect of the treatment with a self-expanding stent to the esophageal stenosis and esophagobronchial fistula. Methods The esophagography was performed before stent placement, and the orientation of lesions was confirmed by X-ray fluoroscopic in 40 patients. Results The stents were placed successfully except one, with sealed up of fistulas. The dysphagia of the patients got obvious improved and the inspiration pneumonia caused by fistula was undercontrol. Conclusion Stent placement is a safe and effective method to treat the esophageal stenosis and esophagobronchial fistula.