摘要
目的 探讨食管支架置入后出血的危险因素及其相关性方法2011年3月-2016年6月因食管狭窄或食管瘘行食管支架置入的患者共83例,均行胃镜下支架置入术,对术后出血的危险因素进行分析,评价其相关性。结果 33例出现术后隐血阳性或黑便,占手术的56%;多变量回归分析提示食管瘘、放疗史、恶性狭窄、Mellow-Piakas分级与术后出血有明显相关性。结论 食管瘘、放疗史、恶性狭窄、高Mellow-Piakas分级是支架置入后出血的危险因素。
Objective To explore the risk factors and its correlation of bleeding after esophageal stent treatment. Methods From March 2011 to June 2016, 83 patients with esophageal stricture or esophageal fistula were treated with endoscopic stent implantation. The risk factors of postoperative bleeding were analyzed and their correlation was evaluated. Results 33 cases of postoperative occult blood positive or melena, accounting for 56% of the operation, multivariate regression analysis showed that esophageal fistula, radiotherapy, malignant stenosis, Mellow-Piakas classification and postoperative bleeding were significantly correlated. ConclusionEsophageal fistula, radiotherapy history, malignant stricture and high Mellow-Piakas classification are risk factors for bleeding after stent implantation.
出处
《中国继续医学教育》
2016年第35期87-89,共3页
China Continuing Medical Education
关键词
食管支架
出血
危险因素
Esophageal stent
Bleeding
Risk factors
