镍钛合金支架治疗食管良、恶性狭窄(附10例报道)

目的；研究镍钛合金支架在食管良，恶性狭窄治疗中的应用，方法；本组１０例患者，食管癌９例，贲门失弛缓症１例，均采用镍钛合金支架，在Ｘ线监视下，经口腔进行置入术。结果：全组支架均一次置入成功，支架入后，患者吞咽困难明显改善，总有效率为１００％，追踪观察，有３例食管癌患者，肿瘤分别突向支架腔内及支架上，下端生长，再次引起狭窄，其中１例又加置一个支架，使食管狭窄再次开通。结论：采用镍钛合金支架治疗食管良，

Bengn and Malignant Esophageal Strictures:Treatment with Nitinol stent (Areport of 10 Cases)

Purpose: Stady the effects of placement of Nitinol stent in the treatment of benign and malignant esophagealstrictures. Methods: In this group the strictures were caused by esophageal cancer (n=9) and achalasia of cardia (n=1). Un der fluoroscopic guidance the Nitinol stent was inserted into esophagus from oral cavity in all cases. Results: Successful stentplacement was achieved at the first trial in all cases. Symptoms of dysphagia were considerably relieved after insertion, and totalefficiency was 100%. In the follow-up recurrence Of strictures occured due to tumor growing in three cases, and in one of whichanother stent was inserted, and re-patency of esophagus was achieved. Conclusion: For the beatment of benign and malignantesophageal stricture the placement of esophageal Nitinol stent appears to be an effective and safe method, and improve poatient'sliving quality.