摘要
目的 研究记忆合金自体膨胀支架,治疗高位食管狭窄的方法和措施。方法 采用内镜下同轴扩张并安放记忆合金支架,治疗高位食管狭窄25例,化学烧伤1例,食管病术后复发3例,吻合口狭窄1例,食管病狭窄20例。其中1例能进半流质,10例仅能进流质,14例吞咽唾液困难完全不能进食(包括4例在咽呛咳者),在25例中有5例伴有声音嘶哑,1例失声,4例肺炎,3例气管、支气管炎。结果 25例安放支架者中,24例一次性安放成功,1例第二次安放成功。安置后,4例可正常进食,19例能进半流质,1例进食无明显改观,1例第三天因呼吸困难取出支架,治疗前后分级与症状改善有非常显著的差异。结论 内镜下记忆合金支架安置术可以迅速解除高位食管狭窄,恢复进食通道,减少肺部感染机率,提高生存质量。
Objective To study treatment methods of high position of esophageal stenosis with self-expanding metal stent. Meth-ods 25 cases of high position of esophageal stenosis were treated with dilation and stents under endoscope; out of tham, 1 withchemical burn, 3 with postoperative relapse of esophageal cancer, 1 with anastomotic bore stenosis and 20 with esophageal cancer.Results The installation was successful only once in 24 cases of stenosis, while in 1 case, the installation was performed twice.Conclusion Endoscopic self-expanding metal stents can relieve the stenosis of high position of esophagus, recover passageway oftaking food, and raise the life quality. The curative effects are remarkable.
