食管内支架治疗食管恶性狭窄及瘘

Malignant Esopbageal Strictures and Esophagotradleal Fistula: Treatment with Metalic Stent

目的:研究食管内支架在食管恶性狭窄及瘘治疗中的应用,置入操作要点及术后处理经验。方法:本组12例患者,(包括食管癌和食管癌并食管气管瘘)均采用镍钛合金支架,在X线监视下,经专用输送装置从口腔进行置入术。结果:本组病例均一次性置入成功。食管狭窄及瘘支架置入后,患者吞咽困难明显改善,食管瘘口封闭,总有效率为100％。结论:食管恶性狭窄及瘘采用内支架治疗,操作简单,安全易行,明显提高患者生存质量。该技术是食管恶性狭窄及瘘的重要而有效的治疗方法。

Objective: To study the effects of metalic stent in the treatment of malignant esophageal strictures and esophagotracheal fistula and investigate the operative technique and postoperative management of it. Methods: In this group,the strictures were caused by esophageal cancer ( n = 12) and esophagotracheal fistula ( n = 1) . Under fluoroscopic guidance the nitinol stent was inserted into esophagus from oral cavity in all cases.Results: Successful stent placement was achieved at the first trial in all cases. Symptoms of dysphagia were considerably relieved after insertion, and total efficiency was 100% . Conclusion: For the treatment of malignant esophageal stricture and esophagotracheal fistula, the placement of esophageal metalic stent appears to be an effective and safe method,and it can improve patients' living qualities.