食管内支架治疗恶性食管狭窄──附8例临床分析

Self-expanding stent in the treatment of malignant esophageal strictures: Study of 8 cases

目的：用食管内支架治疗恶性食管狭窄．方法：对8例食管癌患者分别置放WALLSTENT，STRECKERSTENT及Z-STENT，共10个支架．先用导丝探索通过狭窄段，经球囊扩张后置放支架．结果：8例患者造影显示5例患者食管完全梗阻，3例患者严重狭窄．所有患者均一次顺利完成支架置放．3例分别随访1a，2例分别随访8mo及6mo．患者进普食顺利，疗效满意．2例0．5a后又出现吞咽困难．造影显示原支架上下两端又出现狭窄经第2次置放支架后进食顺利，疗效满意．结论：食管内支架治疗恶性食管狭窄，安全，可靠，疗效好，并发症少．

AIM: To treat malignant esophageal strictures with self-expanding stems. METHODS: A total of ten Wallstems, strecker stems and Z-stems were used to treat 8 patients with malignant esophageal strictures. 5 complete obstruction of esophagus and 3 serious stenosis. When the guldlug wire passed the strictures of the esophagus. esophagealballoon was used to dialate the stenosis and then a stent withthe stent tansport system was placed. RESUI.TS: The selfexpanding stems were successfully placed in all the 8 patients. The follow--up study (3 cases for 1 year. I for 8months and 1 for 6 months showed that the results weresatisfactory and the patients could swallow without difficulty, 2 cases had esophagostenosis again 6 months after thefirst placement and a second placement achieved satisfactoryresult. CONCLUSION: The treatment of esophageal strictures with self--expanding stent is safe, good in effect and hasless complication.