食管金属内支架置入治疗食管良恶性狭窄的并发症分析

目的：通过回顾分析67例食管金属内支架置入术的并发症原因，探讨预防和处理的方法。方法：1996年6月至2000年8月，对78例食管狭窄患者行金属内支架置入治疗，共置入内支架96八，其中附膜支架59枚，裸支架37枚，对内支架置入术后出现的各种并发症进行分析。结果：78例中67例出现并发症，如胸骨后疼痛、食管胃内容物返流、支架置入后再狭窄或堵塞、支架移位、食管出血、穿孔以及心率失常等。分别给予相应的处理后多数可以得到改善或消失。结果：金属内支架置入治疗食管狭窄所致的并发症是可以预防的，如果出现并发症经过处理可以获得缓解。

Analysis of Post-Metallic Stent Placement Complications in the Treatment of Esophageal Strictures

Purpose To analyse the causes of complications that occurred in the 67 patients treated by metallic stent implanation,in order to study the prevention and treatment. Methods From June 1996 to August 2000,96 metallic stents were used for 78 patients with esophageal strictures. Covered stents ( n =59) and uncovered stents ( n =37) were chosen.Postoperative complications were analysed. Results Sixty seven cases of the 78 patients were complicated with chest pain, gastroesophageal regurgitation, postoperative recurrent stenosis,stent migration,esophagorrhagia esophageal perforation and cardiac arrhythmia.These symptoms disappeared or were relieved mostly by treatment. Conclusion The post stent placement complications in the treatment of esophageal strictures are preventable and can be rilieved by treatment if they occur.