贲门支架置入治疗恶性狭窄的疗效分析

Effect of Cardiac Stent Implantation on Malignant Stricture

目的评价贲门内支架置入治疗贲门恶性狭窄的效果及方法。方法对本院2008年12月-2017年6月64例贲门癌合并梗阻的患者,应用贲门内支架置入治疗贲门恶性狭窄,并跟踪随访。结果本组64例中12例支架植入后无任何不适,可见正常进食(CR),占18.7%;48例不同程度疼痛不适,但可以正常进食(PR),占75.0%;4例无法耐受,进行改良支架二次植入后可以流质进食(MR+SD),占6.3%;有效(CR+PR)率为93.8%。结论应用贲门内支架置入治疗贲门恶性狭窄疗效可靠,创伤小,安全性高,不失为治疗贲门恶性狭窄的一种重要微创手段,值得临床推广应用。

Objective To evaluate the effect of cardiac stent implantation in the treatment of malignant cardiac stricture.Methods 64 patients with cardiac carcinoma complicated with obstruction treated in our hospital from December 2008 to June 2017 were taken as the research objects.All these patients were given cardiac stent implantation for the treatment of malignant cardiac stricture and followed up.Results Among these 64 patients,12 patients(18.7%)had no discomfort and visible normal eating(CR)after stent implantation;48 patients(75%)had different degrees of pain,but they could eat normally(PR),4 patients were unable to tolerate,but they could be fed with liquid after twice implantation of improved stent(MR+SD),the total effective rate(CR+PR)was 93.8%.Conclusion Cardiac stent implantation which can be used as an important minimally invasive method for the treatment of malignant cardiac stricture,has the advantage of reliable curative effect,small trauma and high safety.Therefore,it it is worthy of clinical application.