介入性治疗对食道恶性狭窄的临床疗效分析

Clinical efficacy of interventional therapy for malignant esophageal stenosis

目的分析探讨介入性治疗对食道恶性狭窄的临床疗效。方法选取本院2010年3月至2015年4月收治的食道恶性狭窄患者52例为研究对象,所有患者均行内支架置入术与球囊导管扩张术治疗,观察所有患者治疗后的食管复通率、再狭窄率以及并发症情况。结果 52例患者置入支架成功率为100%,食道开通率为100%,食道复通6个月后再狭窄率40.38%,死亡率13.46%。结论对食道恶性狭窄患者给予介入性治疗,疗效显著,可提高患者的生活质量,并延长生存期,是一种安全有效的治疗手段。

Objective To investigate the clinical efficacy of interventional treatment for esophageal malignant stricture. Methods Fifty-two cases of patients with malignant esophageal stricture admitted in our hospital from March 2010 to April 2015 were selected as the study object. All patients underwent esophageal stent placement and balloon catheter dilatation. The esophageal recanalization rate, restenosis rate and complications after the treatment were observed. Results The success rate of the stent placement was 100%, and the esophageal opening rate was 100%. After 6 months of esophageal rehabilitation, the restenosis rate was 40.38%, and the mortality was 13.46%. Conclusion The treatment of esophageal malignant stenosis, interventional therapy has a significant efficacy, it can improve the life quality of patients, and prolong the survival time. It is a safe and effective treatment means.