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被膜食管支架治疗食管贲门良性狭窄32例
引用本文:郑文棋,林海凤,杨长青,龚锦容,吴荔珊,张美金,翁丽贤.被膜食管支架治疗食管贲门良性狭窄32例[J].世界华人消化杂志,2010,18(8).
作者姓名:郑文棋  林海凤  杨长青  龚锦容  吴荔珊  张美金  翁丽贤
作者单位:福建省莆田学院附属医院福建医科大学教学医院消化内科,福建省莆田市,351100
摘    要:目的:评价被膜食管支架治疗食管贲门良性狭窄的疗效和安全性.方法:选择食管贲门良性狭窄患者32例,根据不同患者选择合适的被膜食管支架置入狭窄段.观察操作成功率、吞咽困难改善情况、术中术后并发症的发生及其处理等.结果:32例均一次性成功置入支架,支架置入后吞咽困难症状均得到持续改善.所有患者未出现食管穿孔、出血等严重并发症,但均出现不同程度的胸骨后闷胀隐痛不适,其中4例患者胸痛较明显,肌注止痛荆后缓解:3例出现支架脱落:1例出现支架近端肉芽组织增生.支架置入后可有效封闭食管气管瘘、食管纵隔瘘等.术后6 mo可经内镜成功取出支架.结论:内镜下置入被膜食管支架是治疗食管贲门良性狭窄的一种安全、有效的方法.

关 键 词:食管狭窄  良性  支架  治疗

Treatment of benign esophageal and cardial stricture with covered esophageal stents:an analysis of 32 cases
Wen-Qi Zheng,Hai-Feng Lin,Chang-Qing Yang,Jin-Rong Gong,Li-Shan Wu,Mei-Jin Zhang,Li-Xian Weng.Treatment of benign esophageal and cardial stricture with covered esophageal stents:an analysis of 32 cases[J].World Chinese Journal of Digestology,2010,18(8).
Authors:Wen-Qi Zheng  Hai-Feng Lin  Chang-Qing Yang  Jin-Rong Gong  Li-Shan Wu  Mei-Jin Zhang  Li-Xian Weng
Institution:Wen-Qi Zheng,Hai-Feng Lin,Chang-Qing Yang,JinRong Gong,Li-Shan Wu,Mei-Jin Zhang,Li-Xian Weng,Department of Gastroenterology,the Affiliated Hospital of Putian University & Teaching Hospital of Fujian Medical University,Putian 351100,Fujian Province,China
Abstract:AIM:To evaluate the efficacy and safety of covered esophageal stents for the treatment of benign esophageal and cardial stricture.METHODS:Thirty two patients with benign esophageal and cardial stricture were selected.Appropriate stents were inserted depending on particular patient's condition.The success rate of stent insertion,the improvement in swallow function,the complications and their management were recorded.RESULTS:Stents were placed successfully in all patients.Dysphagia was resolved persistently i...
Keywords:Esophageal stricture  Benignity  Stent  Treatment  
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