金属内支架治疗食管恶性狭窄与食管气管瘘的效果及影响因素分析

本文报告了26例晚期食管癌因食管狭窄或食管气管瘘行自膨式金属内支架置入术，疗效显著，吞咽困难明显改善，3个月、6个月和12个月生存率分别为69．2％、38．5％和19．2％，结果表明该方法治疗食管恶性狭窄和食管气管瘘良好的姑息疗法，并就影响疗效的因素进行了探讨性分析。指出食管癌所致的食管狭窄或食管气管瘘支架置入后应行放射治疗，对放疗后食管狭窄的病例放置支架应有所选择。

Analysis of effect and influencing factors of metallic stents in the treatment of malignant esophageal strictures and esophago-respiratory fistulas

Twenty - six cases of malignant esophageal strictures and esophago - respiratoryfistulas were treated by self - expanding metallic stenls, satisfactory effects were observed among the cases. Dysphagia was obviously improved. The survival rales at 3 -, 6- and 12 month were 69. 2%, 38. 5%, 19.2% respectively. It was concluded that this treatment was safe, simple, good for palliative method and easy to be accepted by the patients, also it had the investigative analysis of influencing factors. It indicated that esophagus cancer which was resulted in the malignant esophageal strictures or esophago - respiratory fistuas should be treaed with radiotherapy after placing metallic stents. Choice should be made to place metallic slents for the cases of malignant esophageal strictrutes after radiotherapy.