带膜支架材料治疗晚期食管癌30例

Membrane-covered esophageal stent for the treatment of advanced esophageal cancer in 30 cases

背景:大量的临床报道证实覆膜支架材料治疗食管癌性梗阻改善率达95%以上,支架置入技术操作容易,治疗痛苦较小,比较安全。目的:回顾性分析带膜支架材料置入治疗晚期食管癌引起的管腔狭窄及食管气管瘘患者临床效果。方法:30例食管恶性狭窄患者,术前均行食道钡餐检查及胃镜病理确诊,并经食管覆膜镍钛合金支架材料置入治疗,回顾性分析其临床资料,评价支架材料治疗效果并探讨手术并发症的相关因素与对策。结果与结论:30例患者共置入37枚覆膜食管支架材料,均1次性置入成功。术后患者吞咽困难、呛咳症状迅速缓解消失,未发生严重的并发症。说明食管内带膜支架材料置入治疗晚期食管癌狭窄,能迅速缓解吞咽困难,使食管气管瘘呛咳现象消失,改善摄食状况。

BACKGROUND：A large number of clinical reports confirm that stent materials can improve the treatment of esophageal obstruction for more than 95%,stent technology is easy to operate,with less pain and more safety.OBJECTIVE：To retrospectively analyze the clinical therapeutic effect of membrane-covered stent materials on luminal stenosis and esophago-tracheal fistula in the treatment of advanced esophageal cancer.METHODS：Thirty cases of malignant esophageal stenosis were diagnosed by esophageal barium meal examination and gastroscope esophageal pathology,and treated by nickel-titanium alloy covered esophageal stent.Clinical data were retrospectively analyzed,treatment effect of the stent was evaluated,and the related factors and countermeasures of surgical complications were investigated.RESULTS AND CONCLUSION：Totally 37 covered esophageal stents were placed on 30 patients with success rate of 100%.After the surgery,the swallowing difficulty and bucking symptoms rapidly relieved and disappeared.No serious complications were observed.Esophageal stent is an effective and secure way to treat the esophageal carcinoma,the swallowing difficulty rapidly relieves and choke cough symptoms of esophago-tracheal fistula disappear,also the ingestion of the patients improves.