食管内置入支架治疗中晚期食管癌性狭窄42例临床分析

Clinical Analysis of Metal Stent Placement on Treatment of Esophageal Stenosis in 42 Patients with Esophageal Carcinoma

目的探讨中晚期食管癌伴有食管狭窄患者安放支架的临床疗效。方法对42例中晚期食管癌合并有不同程度的食道狭窄患者。在胃镜引导下,安放不同型号的金属支架,观察对临床症状的缓解和疗效变化。结果患者均成功地安放了食管金属支架。经观察发现患者的食管梗阻和吞咽困难等症状均有显著改善。术后3月内随访发现,患者出现胸骨后疼痛8例,反流性食管炎8例,吞咽困难5例,食管支架内再狭窄者4例,呼吸困难2例,食管黏膜出血2例。结论中晚期食管癌性狭窄患者接受安放金属支架治疗可以显著地改善临床症状。

Objective To treat esophageal stenasis in patients with esophageal carcinoma at middle and advanced stages using intra-esophageal metal stents, and analyze the clinical efficacy. Methods For 42 patients with esophageal carcinoma at middle and advanced stages diagnosed as the esophageal stenosis,metal stents were successfully placed under the guide of gastroscopy, and the clinical efficacy was evaluated. Results Stents were successfully placed in all patients. Following 3-month observation, we found that dysphagia was improved significantly after stent placement. There were 8 cases showing chest pain, 8 cases with gastro-esophageal reflex, 5 cases with dysphagia, 4 cases with re-appearance of stenosis, 2 cases with dyspnea, and 2 cases with bleeding. Conclusion Placement of metal stents can effectively treat and improve clinical symptoms in patients with esophageal carcinoma.