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全覆膜可取出支架在食管良恶性狭窄中的应用
引用本文:周会新,吴一中,许剑. 全覆膜可取出支架在食管良恶性狭窄中的应用[J]. 医学临床研究, 2008, 25(2): 248-250
作者姓名:周会新  吴一中  许剑
作者单位:1. 湖南省人民医院消化内科,湖南,长沙,410001
2. 湖南省湘潭市中心医院消化内科,湖南,湘潭,411100
摘    要:[目的]探讨全覆膜可取出个体化设计支架治疗食管恶性狭窄的方法及疗效.[方法]采用国产全覆膜可取出个体化设计支架治疗食管恶性肿瘤18例;食管癌术后吻合口瘘8例;化学性烧伤3例;贲门失弛缓2例;医源性食管穿孔3例;食管癌术后吻合口非肿瘤复发性狭窄4例.[结果]所有的食管良恶性狭窄支架置入后均能顺利恢复进食.18例食管恶性肿瘤患者中没有出现术后再狭窄;8例食管癌术后吻合口瘘患者堵瘘均成功;3例医源性食管穿孔堵瘘成功,术后3个月取出支架,避免了外科手术治疗.[结论]个体化设计全覆膜可取出支架治疗食管良恶性狭窄疾病具有疗效确切,应用范围广,后续问题少的优点.但其是否存在食管黏膜组织增生,以及增生所致再狭窄的时间;如何更有效地防止支架脱落移位,良性狭窄支架取出的最佳时期的确定,还有待进一步临床观察.

关 键 词:食管狭窄/治疗  支架
文章编号:1671-7171(2008)02-0248-03
收稿时间:2007-10-11
修稿时间:2007-10-11

Application of Covered Retrievable Stent in Benign and Malignant Esophageal Stricture
ZHOU Hui-xin,WU Yi-zhong,XU Jian. Application of Covered Retrievable Stent in Benign and Malignant Esophageal Stricture[J]. Journal of Clinical Research, 2008, 25(2): 248-250
Authors:ZHOU Hui-xin  WU Yi-zhong  XU Jian
Abstract:[Objective]To investigate the efficacy of covered retrievable stent for the treatment of benign and malignant esophageal stricture and its merits. [Methods] Eighteen cases of csophageal cancer, 8 esophageal anastomotic fistula, 3 chemical empyrosis, 2 achalasia, 3 iatrogenic perforation of esophagus, 4 nontumorous recurrence of restenosis were treated by the covered retrievable stents designed individually. [Results] All patients after stent implantation were successfully resumed eating. Eighteen cases of esophageal cancer did not appear stenosis after implantation, and 8 esophageal anastomotic fistula and 3 iatrogenic perforation were successfully blocked up. The stems were removed three months later and surgical treatment was avoided. [Conclusion] Covered retrievable stent designed individually is effective for benign and malignant esophageal stricture, and has the advantages of wide application and minor follow-up question. It is expected to completely replace nitinol memory alloy stent. But the existence of esophageal mucosa hyperplasia is not clear as well as the time of restenosis. The ways to more effectively prevent the stent shedding, the optimal periods of esophageal stents implanted in the patients of benign stricture and the long-term effects should be further observed clinically.
Keywords:esophageal stenosis/TH    stents
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