自膨式食管金属加膜支架治疗恶性食管狭窄和气管食管瘘

Membrana-covered Esophageal Self-expanding Metallic Stent for Malignant Esophageal Stricture and Tracheoesophageal Fistula

目的:探讨自膨式食管金属加膜支架治疗恶性食管狭窄和气管食管瘘的疗效和并发症。方法:2004年1月至2009年6月对63例恶性食管狭窄和气管食管瘘患者实施食管支架置入,男45例,女28例;年龄45～81岁,平均69.3岁。支架为MTN型形状记忆钛镍合金食管加膜支架(南京微创医学科技有限公司生产),支架植入均在DSA监视下操作完成。结果:63例均一次性放置成功,即刻口服造影通过顺利剂。结论:自膨式食管金属加膜支架是治疗恶性食管狭窄和气管食管瘘的有效方法。

Objective： To explore the effect and complication of membrana-covered esophageal self-expanding metallic stent in the treatment of malignant esophageal stricture and tracheoesophageal fistula.Methods： From January 2004 to June 2009,63 patients（45 males and 28 females）,aged from 45 to 81 years old with an average age of 69.3,suffering from malignant esophageal stricture or tra-cheoesophageal fistula were treated by esophageal stent deployment under DSA monitoring.The esophageal stent was a kind of MTN typed shape memory Titanium stent covered with membrane（Made in Nanjing minimally invasive medicial Technology Co.,Ltd）.Results： Stent implantation was successful in all the 63 patients during their first deployment.Immediately,oral contrast material could be swallowed through the esophagus smoothly.Concultion： Membrana-covered esophageal self-expanding metallic stent implantation is an effective and safe method for the treatment of malignant esophageal stricture and tracheoesophageal fistula.