新型双层食管支架治疗6例晚期食管癌并梗阻的应用体会

目的：总结新型双层食管支架治疗中下段食管癌的疗效、经验。方法对本消化内镜中心于2014年1－6月确诊的6例无外科手术指征的食管癌并梗阻患者，行双层食管支架治疗，并随访治疗效果、并发症及预后。结果6例患者吞咽困难均改善2个等级，体重增加（3．13±0．33）kg；除1名患者因器官衰竭于术后4个月死亡，余患者随访1年内均未出现明显胸痛、出血、支架移位等并发症，未出现再梗阻症状。结论新型双层食管支架治疗晚期食管癌并梗阻安全有效，提高患者的生活质量及营养状况，对比传统食管支架，可明显减少不良反应，为进一步治疗提供时机，值得在临床上推广应用。

Experience in the treatment of6 cases of advanced esophageal carcinoma with novel double-layered esopha-geal stent

Objective To summarize the effect and experience of the novel double?layered esophageal stent in the treatment of middle and lower esophageal carcinoma. Methods 6 patients of esophageal carcinoma with no surgical indications were treated by double?layered esophageal stent from January to June 2014. Results Dysphagia significantly improved about 2 grads, and the weight significantly increased (3.13±0.33)kg in these patients. In addition to 1 patients died due to organ failure in 4 months after surgery, patients were followed up for 1 years, without obvious chest pain, bleeding, stent displacement and other complications, and no symp?toms of reobstruction. Conclusion The new type of esophageal stent is safe and effective for advanced esophageal cancer and obstruc?tion. It improves the living quality and nutritional status of patients and there are few complications. It provides more opportunity for fur?ther treatment, As a result, the double?layered esophageal stent is worthy to be promoted in clinical application.