癌性食管严重狭窄和闭塞的内支架植入临床观察

Clinical Analysis of Placement with Covered Self-expanding Metallic Stent for Comcerous Esophageal Stricture and Occlusion

摘要: 目的　探讨内支架植入在食管癌严重狭窄和闭塞中的治疗作用。方法　1995年以来，我们对23例食管癌严重狭窄和闭塞的患者(其中9例伴有食管-气管瘘)进行了放射介入治疗，即食管病变处植入被膜自膨胀式金属内支架，并进行了短期(1～9个月)观察。结果　除1例植入失败外，余22例均一次性植入成功，进食得以恢复或明显改善，痿口堵塞成功，感染得到控制。结论　内支架植入在食管癌严重狭窄和闭塞的姑息治疗中有积极意义，是提高晚期食管癌患者生存质量的一个安全而有效的方法。

Abstract: Objective Explore the effect of placement with covered self-expanding metallic stent for cancerous esophageal stricture and occlusion. Methods 23 stents were implanted in all 23 patients with cancerous esophageal stricure and occlusion since 1995.There were 9 cases complicated with esophagotracheal fistula in all 23 patients.The patients were followed up 1～9 months. Results 22 stents were successfully implanted at first time except for 1 case.Food intake ability of 22 patients was improved and clinical symptoms of fistula were relieved in 9 patients. Conclusion The placement of cancerous esophageal stricture and occlusion as well as improving the survival quality of the late esophageal carcinoma patients.