【摘要】 目的 :介绍经内镜或开胸单纯探查术中放置自膨式食管支架治疗贲门和食管狭窄的方法及注意事项。方法 :1 998年 3月 - 2 0 0 2年 8月对 4 1例食管、贲门狭窄患者进行了内镜下或开胸术中扩张及内支架置入术。结果 :38例一次性置入成功 ,2例异位经调整后达到满意 ,1例异位拒绝再行调整 1个月后死亡 ,恶性病变 2 8例中 2 1例完成了放、化疗疗程 ,1年生存率 6 7 8% (1 9 2 8)。结论 :经内镜下放置食管支架操作简单、安全 ,疗效可靠 ,并发症少 ;开胸单纯探查术中放置自膨式食管支架是有效的补救治疗手段更多还原

【Abstract】 Objective To introduce the methods of placing Ni Ti self expanding stent by way of endoscopy or thoracic exploring operation in management of esophageal stenosis.Methods Forty one cases of benign and malignant esophageal stenosis were treated from March 1998 to August 2002.Results Thirty eight cases were succssfully placed with stent only once,2 failure cases obtained satisfaction after being readjusted,and one failure to death because of refusing to accept readjustment.Of 28 malignant cases,21 cases received at least one course of radiotherapy or chemotherapy.The one year survival rate of these patients was 67 8%(19/28) The symptoms and life quality improved in 40 cases.Conclusion The self expanding stent placement by endoscopy is an effective,safe and reliable method with few complications for esophageal stenosis.Likewise the stent placement would be a remedial measure for malignant esophageal stenosis in thoracic exploring operation.更多还原