非X光胃镜直视下金属支架治疗食管恶性狭窄疗效观察

TREATMENT OF MALIGNANT ESOPHAGEAL STENOSIS WITH SELF-EXPANDING METALLIC STENTS UNDER ENDOSCOPY WITHOUT FLUOROSCOPIC GUIDANCE

目的 :使用金属支架治疗恶性狭窄。方法 :在非X光胃镜直视下放置镍钛记忆合金支架治疗食管恶性狭窄 33例 ,其中食管癌所致食管狭窄 2 5例 (肿块型 9例 ,四周狭窄型 16例 ) ,食管贲门癌术后复发吻合口狭窄 6例 ,肺癌转移食管并狭窄 2例。术后给予治疗和 /或化疗。结果 :本组病例放置成功率 10 0 % ,术中无食管出血及食管破裂等并发症发生 ,术后咽下困难、梗噎感、食管反流消失。术后与术前比较 ,吞咽困难明显改善达两个级别以上 ,经统计学处理有显著性差异 ,P <0 .0 1。结论 :非X光胃镜直视下置入金属支架治疗食管癌恶性狭窄安全、可靠 ,治疗效果显著 ,对于提高病人生活质量 ,延长病人生存时间不失为一种行之有效、姑息性的治疗方法 ,术后放疗和

Objective:Malignant esophageal stenosises were treated with metallic self-expanding stents for improving the quality of life and prolonging the surviral time of the patient.Methods:The self-expanding metallic stents were placed under endoscopy without fluoroscopic guidance in 33 patients with malignant esophageal stenosis.Results:Stent placement was successful and well tolerated in all 33 patients.There were no complications due to stent placement.All patients had improvement of at least two dysphagia grades.Conclusions:Self-expanding metallic stent is efficacious in the palliative therapy of malignant esophageal stenosis.It is safe under endoscopy without fluoroscopic guidance.