食管内支架与动脉化疗治疗食管恶性狭窄(附23例报告)

Treatment of Malingnent Esophageal Strictures with Self-expanding Stent and Arterial Infusion

目的 采用介入放射学技术 ,对食管恶性狭窄的患者作食管内支架置入和化疗 ,以缓解、消除吞咽困难等症状 ,从而延长生存期 ,提高患者生活质量。方法 2 3例食管恶性狭窄的患者 ,均采用食管带膜支架置入和动脉化疗 ,内支架置入后 5～ 7天行动脉化疗 ,每 4周重复一次。结果 患者临床症状明显好转 ,大部分能进普食。结论 食管内支架与动脉化疗治疗食管恶性狭窄安全、简便、有效。

Objective Interventional radiology was adopted to treat malignant esophageal strictures by arterial infusion and self-expanding stent, so as to mitigate and eliminate dysphagia and other clinical symptoms,prolong the survival time and life quality of the patients. Methods All the 23 patients were treated with the stent and arterial infusion.At first the stents were set and five or seven days later ,chemical therapy by the arterial infusion was done ,which was repeated every four weeks.Results Clinical symptoms were relieved in all the patients and most of them could swallow food .The effect was satisfactory.Conclusion The treatment of esophageal strictures with self-expanding stent and arterial infusion was safe, simple and effective.