加膜支架治疗食管癌术后并发症的应用价值

Coated stent in the treatment of postoperative complications of esophageal value

目的评价置入食管加膜支架对食管癌术后恶性食管狭窄或瘘的治疗效果及并发症。方法对2007年1月至2009年9月X线电视透视下置入的22例食管加膜支架病例进行回顾性分析其临床资料。结果 22例食管支架均一次放置成功,成功率100%,支架置入后2例(2.9%)1个月内死于消化道出血;9例(40.1%)有不同程度的胸骨后疼痛和异物感,无明显支架移位。结论食管加膜内支架置入操作简单、安全,成功率高,能迅速有效地改善吞咽困难,提高生活质量,延长生存期,是解除食管狭窄和/或瘘的有效的姑息治疗方法。

Objective To evaluate the increase of esophageal stent placement for postoperative esopha- geal malignant esophageal steuosis or fistula treatment and complications. Methods January 2007 - 2009 year in September X-ray TV fluoroscopy into the 22 cases of esophageal stent plus retrospectively analyzed clinical data. Results 22 cases of esophageal stent placement were a success, the success rate was 100%, after two ca- ses of stent implantation （2. 9% ） died within 1 month of upper gastrointestinal bleeding; 9 cases （40. 1% ） had varying degrees of chest pain and foreign body sensation, no significant stent displacement. Conclusion E- sophageal Stcnt membrane plus simple, safe, high rate of success can be quickly and effectively to improve the swallowing difficulties, improve quality of life and prolong the survival period, the lifting of esophageal stenosis and / or fistula an effective palliative treatment.