扩张置管术治疗难治性食管狭窄和瘘的临床护理

目的 探讨内镜下扩张置管术治疗难治性食管狭窄和瘘的临床护理.方法 对难治性食管狭窄和瘘的病人在内镜下扩张和置入记忆合金支架.结果 62例狭窄患者狭窄处直径术后由(4.0±1.5)mm增至(18.5±1.1)mm(P＜O.01);吞咽困难由(2.78±O.42)级改善为(0.94±0.73)级(P＜0.01);24例食管瘘患者均成功置入支架,食管瘘全部闭合,病人吞咽困难及呛咳症状消失,恢复经口进食.结论 根据难治性食管狭窄和瘘的特点,采取适宜的护理措施,可取得较好的临床疗效.

Nursing of intractable esophageal stenosis and esophageal fistula treated by endoprosthesis

Objective To explore the nursing method of intractable esophageal stenosis and esophageal fistula treated by endoprosthesis.Methods Alloy brackets were put into esophagus with the help of endoscope.Results Sixty two patients with intractable esophageal stenosis were treated by endoprosthesis.The diameter of narrow esophagus after operations was increased from (4.0 ± 1.5 ) mm to (18.5 ±1.1 ) mm (P＜0.01 ) .The degree of dysphagia was decreased from 2.78 ± 0.42 to 0.94 ± 0.73 ( P ＜ 0.01 ) .24 patients with infractory esophageal fistula were treated by endoprosthesis successfully.The intractable esophageal fistula were all healed and the symptoms of dysphagia and bucking disappeared.The patients could take food through the mouth.Conclusions It should be to take towardly nursing according to the characteristic of intractable esophageal stenosis and esophageal fistula.By dong this, we can make better clinical curative effect.