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食管内支架置入后疼痛问题的探讨
引用本文:桑银保,焦勤书.食管内支架置入后疼痛问题的探讨[J].当代医学,2011,17(5):86-87.
作者姓名:桑银保  焦勤书
作者单位:河南,45500,安阳市第二人民医院影像科
摘    要:探讨食管内支架置入后疼痛的原因及对策.方法 入选48例患者,其中食管癌26例,食管癌外科术后肿瘤复发10例,吻合口狭窄6例,食管癌外科术后肿瘤复发伴食管-气管瘘4例,食管癌外科术后吻合口瘘2例.病变范围4-10cm,平均7.2cm.病变按吞咽困难分级:Ⅱ级12例,Ⅲ级25例,Ⅳ级11例.所有患者仅单纯食管内支架置入,均未行放射治疗和化疗.结果 共置入内支架48枚,所有病例均1次成功,放置后3-10天,梗阻、进食困难症状均明显减轻,2例食管气管瘘患者进食呛咳立即消失.无严重并发症,均有不同程度的胸骨后疼痛.结论 食管内支架置入是治疗食管狭窄的有效方法,通过对支架的选择,以及药物控制,胸骨后疼痛均得到有效缓解.

关 键 词:食管狭窄  介入治疗  支架  疼痛

Pain after esophageal stent placement
SANG Yin-bao,JIAO Qin-shu.Pain after esophageal stent placement[J].Contemporary Medicine,2011,17(5):86-87.
Authors:SANG Yin-bao  JIAO Qin-shu
Institution:SANG Yin-bao,JIAO Qin-shu,Department of Radiology,the Second People's Hospital Anyang,Henan 455000.China
Abstract:Objective To compare the three-phase CT scan and DSA in liver cancer diagnosis and the guidance for interventional therapy choice.Method 150 cases of liver cancer patients with complete data were selected,in which 103 cases of primary liver cancer,liver metastases in 47 cases.All patients had a complete CT scan and DSA angiograms.Results Some of the small hepatocellular carcinoma,metastatic carcinoma in the arterial phase enhancement was not obvious,DSA can be clearly seen for the parent artery tumor staini...
Keywords:DSA
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