内镜下置放带膜镍钛记忆合金支架治疗食管贲门恶性狭窄30例

Endoscopic decompression with memorized Nitinol alloy network stent for malignant stricture of esophagus and cardia:report of 30 cases

目的:探讨内镜下置放镍钛记忆合金支架治疗食管贲门恶性狭窄的临床应用价值。方法:对30例失去手术机会或拒绝手术的晚期食管、贲门恶性狭窄患者,均进行胃镜下放置镍钛记忆合金带膜支架;对狭窄程度严重、胃镜不能通过者,先行Savary探条扩张后,再放置内支架。结果:均成功置入支架,解除狭窄有效率为100%;其中置入一个支架28例,一次性置入2个支架2例。结论:镍钛记忆合金带膜支架置入术是无法手术治疗或拒绝手术的晚期食管、贲门恶性狭窄患者的有效治疗方法,对延长患者生存期及提高患者生存期生活质量起到显著作用,手术操作安全、适用。

Objective：To assess the value of endoscopic decompression with memorized Nitinol alloy network stent in treatment of malignant stricture of esophagus and cardia.Methods：Thirty patients with unrespectable malignant stricture of esophagus and cardia were emplaced memorized Nitinol alloy network stent through gastroscope.For patients with serious stricture,the stents were inserted after Savary＇s dilation.Results：Successful stent placement was achieved in all the 30 cases,with an effective rate of 100%;28 patients were emplaced one stent and 2 patients two stents.Conclusions：The emplacement of Nitinol alloy network stent is effective for treatment of malignant stricture of esophagus and cardia（operation useless or unrespectable）.It may extend the life span of the patients and improve their quality of life.The operation is safe and applicable.