双支架治疗食管癌引起的重度气管狭窄

目的探讨气管、食管双支架留置术治疗恶性气管、食管狭窄的安全性和临床疗效。方法回顾性分析16例食管癌联合重度气管狭窄的患者行气管及食管腔内支架植入术的方法,相关的术中麻醉支持和指征监测及围术期处理。结果所有患者均成功置入气管、食管双支架,手术成功率100%。共放置内支架32枚（气管支架及食管支架各16个）。术后肺通气功能及吞咽功能均明显改善。术后生存期〈3个月者3例,3～6个月8例,〉6个月5例。结论气管、食管双支架留置术是治疗恶性气管、食管狭窄安全、有效的治疗方法。对于同时伴有气管、食管狭窄的患者,应首先置入气管支架。

Double stents implantation treating severe tracheobronchial stenosis caused by esophageal carcinoma

Objective To evaluate the efficacy and safety of double stents indwelling in the treatment for malignant tracheal and esophageal stenosis.Methods Sixteen cases of severe tracheal stenosis with esophageal carcinoma stenting procedure were studied retrospectively.The clinical choice of stents of different advantages or deficiencies was discussed.The importance of intravenous anesthesia supporting,life-parameters monitoring during the procedures and the prevention of complications were analyzed.Results All tracheal bronchial and esophageal stents were successful implanted and well-tolerated in all patients.The successful rate was 100%.32 stents were used in stent implantation.There were 16 tracheal stents and 16 esophageal stents respectively.Their dyspnea and suffocation were relieved after the tracheal bronchial and esophageal stents implantation.The postoperative survival period of 3 patients 3 months,then 5 patients 6 months and 8 patients were from 3 to 6 months after stent implantation.Conclusion Double stents indwelling is safe and effective approach in patients with malignant tracheal bronchial and esophageal stenosis.These results demonstrate that tracheal bronchial stents should be implanted firstly and then esophageal stents be implanted to the patient of severe tracheal stenosis with esophageal carcinoma.