食管内支架治疗晚期食管癌的临床价值

Treatment of Advanced Esophageal Carcinoma with Membrane-covered Metallic Stent

目的探讨该经内镜放置覆膜治疗晚期食管癌的临床价值。方法对2000年3月至2008年12月在X线辅助下经内镜放置覆膜金属支架治疗的116例晚期食管癌患者的临床资料进行回顾性分析。结果116例患者放置支架成功,操作成功率100%,食管支架放置后能有效缓解患者进食困难症状,2周后进食困难分级评分平均从3.17级降至1.01级,15例食管气管瘘患者术后均能完全堵塞食管瘘口,封堵率100%,术后80例生存1年以上。结论经内镜放置腹膜全层支架操作简单、经济、安全,是姑息性治疗中晚期食管癌的一种有效方法。

Objective To evaluate the clinical value of treatment of advanced esophageal carcinoma with membrane covered metallic stent.Methods The clinical data of 116 patients with advanced esophageal carcinoma treated with endoscopy from march 2000 to December 2005 were analysed,retrospectively.Results The membrane-covered metallic stent were implanted in 116 patients,the successful rate was 100%,the degree of dysphagia was reduced from 3.17 grades to 1.01 grades,the cure rate for 15 patients with esophagotrachheal fistula was 100%,80 cases survival one year.Conclusion Implantation of membrane-covered metallic stent is a safe, economical,effective,and well tolerated method for relieving esophageal stricture of advanced esophageal carcinoma.