暂时性食管支架成形术治疗儿童食管良性狭窄

Use of retrievable self-expanding stent in treating childhood benign oesophageal stricture

目的评价儿童食管良性狭窄使用暂时性食管支架成形术治疗的疗效。方法儿童烧灼性食管狭窄及食管术后吻合口狭窄患儿10例,支架置入前均先行食管吞钡检查,吞咽评分为3,并置入覆膜可回收支架。结果支架置入后,所有患儿无明显并发症,并安全回收。支架置放期间所有患儿能进食固体食物,无吞咽困难。支架取出后6～12个月随访,患儿均能正常进食,吞咽评分为0。结论应用暂时性支架成形术治疗儿童食管良性狭窄安全、有效。

Objective To evaluate the methods and effect of retrievable serf-expandlng esophageal stem in treating benign esophageal stenosis of children. Methods The covered retrievable expandable nitinol stents were placed in 10 children with corrosive esophageal stenosis and post-anastomotic stenosis, age ranged from 2 to 12 years, the dysphagia scores were 3, Barium esophagography was taken before the use of retrievable stent. Results The stents were placed safely in all patients without complications and were successfully removed after all. After the stent placement, all patients could take solid food without dysphagia. During 6 to 12 months follow-up after the stent removal, all children could eat satisfactorily with the dysphagia score as 0. Conclusion The use of covered retrievable expandable stent is effective and safe in treating childhood benign esophageal stenosis.