恶性食管狭窄的姑息治疗——附26例报告

目的:用金属食管镜扩张食管狭窄并置入食管支架,改善恶性食管狭窄及食管瘘患者的生活质量.方法:患者经全麻或表麻在金属食管镜下扩张狭窄的食管,然后置入双喇叭硅胶管或镍钛合金支架.4例应用双喇叭硅胶管,24例应用镍钛记忆合金支架,所有患者食管扩张及支架置入顺利,术后进食无障碍.2例(7.2%)支架向上移位,23例(82.8%)发生胸骨后疼痛,7例(25.0%)发生胃液返流,4例(14.3%)发生阻塞,1例(3.6%)于术后两个月死于术后食管大出血.结论:用金属食管镜扩张恶性食管狭窄,人工支架置入是改善恶性食管狭窄患者生活质量的一种理想姑息治疗方法,支架置入方便,无严重并发症发生.

Palliative treatment of the malignant esophagostenosis

Objective:In order to improve life quality malignant eshophagostenosispatients,silicone or NiTi-alloy stents were implanted by rigidity esophagoscopy. Methods: Under rigidity esophagoscopy,all malignant esophagostenosis of patients were dilated. Then silicone tube or NiTi-alloy stents were implanted in situ. Results:The stentswere included 4 silicone tubes and 24 NiTi-alloy stents. It showed all procedure ofesophagostenisis dilatation and stents implantation were successful. No stenosis was occurred in all cases postoperationly. Stent imigrated in two cases (7. 2% ). Twenty-threecases (82. 8%) of patients experienced etrosternal pain. Recurrent gastritis juice presented in seven cases (25.0% ). Recurrent stenosis occurred in 4 cases (14. 4% ). One(3. 6%) died at 2 month postoperative for deadly esophageal bleeding. Conclusion: Byrigidity esophagoscopy,stent implantation was a good method to improve patient's lifequality. The procedure was easy and without severe complications.