食管内支架置入术疗效分析及随访观察(附51例报告)

目的：评价金属内支架治疗食道良、恶性狭窄的效果及并发症情况。材料和方法：５１例病人，良性狭窄１４例，恶性狭窄 ３７例，其中伴瘘道形成者 １８例。共置入国产 Ｚ型自膨式吻合口支架 １２枚， ｓｔｒｅｃｋｅｒ支架 ４枚， ｗａｌｌｓｔｅｎｔ ４枚，国产Ｚ型自膨式带膜支架３９枚。结果：内支架置入全部成功，无即刻并发症出现，术后患者狭窄得到改善，瘘道完全封闭。远期疗效与疾病性质、并发症的出现及治疗情况密切相关。结论：食道内支架置入术是治疗食道良、恶性狭窄的有效的非手术方法，可明显改善患者的生存质量。同时，对可能出现的并发症积极治疗，有利于延长生存时间。

Treatment effect and follow-up after esophageal stent implantation(51 cases report)

Objective: To evaluate the effect of metallic stent in the treatment of benign and malignant stricture in esophagus. Material and Methods: Treated by metallic stent 14 patients with benign stricture in esophagus, 37 patients with malignant stricture in esophagus. Among 18 patients with fistulas, 16 were complicated with esophagotracheal fistulas and 2 were complicated with esophagobronchial fistulas. 36 males and 15 females aged ranged from 35 to 80, were discussed in this article .After catheter inserted from mouth, the strictureportions were dilated with balloon catheter, 51 selfmade Z stems and 4 strecker stents, 4 wallstents had been implanted.Result: All stems were successfully placed.patients could eat more easily after the operations.The esophagotracheal fistulas and esophagobronchial fistulas were completely sealed. Conclusions: Metallic stent implantation is an effecive method to treat benign and malignant stricture in esophagus, and could elevate the life quality of patients significantly.