电子气管镜用于食管严重狭窄支架置入的效果观察

目的：探讨气管镜用于食管严重狭窄病例支架置入的可行性与优越性。方法：将胃镜无法通过的食管严重狭窄的患者共34例,分为实验组12例在Olympus-BF260电子气管镜直视下置入食管支架;对照组22例用普通胃镜在X线透视下行食管支架置入术。结果：实验组12例患者均一次性成功放置食管支架,成功率100%,操作时间相对短,并发症少,支架位置准确;对照组22例,成功置入16例,成功率72.7%,出现并发症4例。结论：电子气管镜代胃镜行食管支架置入术,操作时间短,成功率高,并发症少,支架定位精确;且无需在X光机,不对医务人员造成辐射损害,因此电子气管镜代胃镜用于食管严重狭窄支架置入优点多,有气管镜的医院均可开展此项工作。

Effect Observation on Stent Placement for the Cases with Serious Esophageal Stricture under Electron Bronchoscope

Objective： To explore the feasibility and superiority of stent placement for the cases with serious esophageal stricture under Olympus-BF260 electron bronchoscope. Method： 34 patients with serious esophageal stricture which electron gastroscope could not get through, among whom 12 cases of experiment group were assigned to be placed metal stent under electron bronchoscope, 22 cases of control group were assigned to undergo metal stent placement under electron gastroscope and X-ray. The operation time, complication, success rate and stent positioning were observed. Result： Stent placement was successful in all patients of experiment group at the first time, and the success rate was 100% and the operation time, complications was less than control group, and stent positioning was more accurate than control group. 16 cases in total 22 cases of control group was successfully placed stent with 4 cases of complication. Conclusion： The metal stent placement under electron bronchoscope is safe and effective with accurate positioning for the patients with serious esophageal stricture.