食管自扩金属内支架治疗良恶性狭窄

目的：评价食管自扩内支架治疗良恶性狭窄的临床疗效，探讨食管支架放置成功的因素。方法：３２例患者放置了自扩金属食管内支架。其中食管—胃吻合口良性狭窄３例，恶性狭窄２９例。食管中、上段狭窄１７例，下段及贲门狭窄１２例。３５枚支架均经口腔在Ｘ线电视及ＤＳＡ监视下置入完成。结果：５例二次放置成功，一次置入成功率８４．４％（２７／３５）。术前吞咽困难４级１９例（５９．４％），３级１３例（４０．６％）。术后吞咽困难３级３例（９．４％），０～２级２９例（９０．６％），总有效率１００％，治疗前后差异显著。结论：食管支架有助于解决吞咽困难，是一种安全、有效的治疗方法。

The Treatment of Esophageal Benign and Malignant Stenosis with Self-expanding Metallic Stent

Objective:To evaluate the clinical effect of esophageal benign and malignant stenosis with SEMS and the successful factors of setting SEMS.Methods:SEMS were set in 32 patients,of them,there were 3 cases of benign stenosis,29 cases of malignant stenosis,esophageal stenosis were at middle and upper portions in 17,and at distant portions were in 12.Results:Total 35 stents were planted under X-ray TV and DSH controlled.The successful rate at frist setting was 84.4%(27/35).5 cases were set successfully secondarily.Pysphagia was symbolized by "0 to 4 degree,4 degree were 19 cases (59.4%),3 degree were 13 cases(40.6%)preoperation.3 degress were 3 cases(9.4%),0 to 2 degree were 29 cases(90.6%)postoperation.Conclusion:By the application of SEMS the dysphagin and the quality of life of patients can by improved,it is safe and effective method treating esophageal stenosis.