自膨胀金属支架治疗晚期食管癌吞咽困难26例

Self-expandable metal stents for dysphagia in 26 patients with advanced esophageal cancer

目的:回顾分析覆膜自膨胀金属支架(Self-expandable metalStent,SEMS)对晚期食管癌吞咽困难患者的治疗效果及并发症的防治。方法:对26例晚期食管癌吞咽困难患者,行食管狭窄扩张术后,在内镜直视下置入覆膜SEMS,观察其对吞咽困难的治疗效果及并发症的防治。结果:26例患者均顺利安放SEMS,吞咽困难症状得到缓解,吞咽困难计分由治疗前的3.08分下降至1.38分(P<0.01),主要并发症为胸痛、胃食管反流及SEMS阻塞结论:SEMS能明显改善晚期食管癌患者的吞咽困难,提高生存质量,延长生存时间。

AIM: To evaluate the therapeutic effect of self-expandable metal stents for dysphagia in 26 patients with advanced esophageal cancer. METHODS: Twenty-six patients with inoperable esophageal cancer had dysphagia and were treated with self-expandable stents. After esophageal dilation, a covered self-expandable metal stent was inserted and released on the site of stenosis. RESULTS: The stent was placed successfully in all of the 26 patients. Immediate relief of dysphagia was observed, the dysphagia score decreased from 3.08 to 1.38 (P<0.01). The main complications of this procedure were chest pain, gastroesophageal reflux and obstruction of the stent. CONCLUSION: Self-expandable mental stent is a safe and effective method to palliate the dysphagia in inoperable esophageal cancer.