【摘要】 目的分析放置覆膜支架对缓解食管癌食管狭窄及合并食管-支气管瘘临床症状的作用。方法在胃镜直视或X线透视下由导丝引导定位,经支架输送器置覆膜支架于病变部位。结果共129例,均一次放置成功,14例患者一次堵瘘成功,技术成功率为100%。吞咽困难及呛咳症状显著改善。患者在支架置入术后1周内进半流质食物,后改为普食。结论对于失去手术机会或无法耐受手术的食管癌患者,放置覆膜支架疗效确切,安全可行。更多还原

【Abstract】 Objective: To analyze the effect of covered endo-esophageal stent in treating symptomatic patients with malignant esophageal strcture and esophagobronchial fistula. Method: Following pharyngeal surface,the covered endo-esophageal stent was located at the focus of lesion for each patient,guided by the iron wire and the stent-transporter under the endoscopy or X-ray. Results: All of the stents were successfully implanted in 129 patients without technical failure. The fistula was fully closed in 14 patients. The symptoms of dysphagia and bucking were relieved obviously. The patients can have semi-fluid food in first week after stent implanted,then full meal. Conclusion: For patients with esophageal carcinoma,when they lost the operative opportunity or had lower operative tolerance, treatment effect of the covered endo-esophageal stent is effective and safe.更多还原