【摘要】 目的为提高食管狭窄病人的生存质量，延长生存期。方法采用全程内镜直视下扩张置管术治疗狭窄18例。结果晚期食管癌、贲门癌9例，合并食管-气管瘘4例；食管、贲门癌术后6例；食管痛放疗后狭窄2例；喉癌术后喉瘘1例，均置管成功。5例合并瘘管的病人置管后即刻达到阻瘘目的。术后发生支架移位1例；食物嵌顿1例。吞咽困难均得到明显改善。结论全程内镜下扩张置管术较X线下置管术具有操作简便，置管准确，扩张效果好的优势。更多还原

【Abstract】 In order to improve the life quality of patients with esophageal stricture and to extend their life span. Methods 18 cases were treated with ultraflex esophageal prosthesis un der endoscopic observation. Results We succeeded in placing stents in all cases (9 cases of advanced esophageal carcinoma and cardia carcinoma, among thern 4 cases with tracheo-esophageal fistula; 6 cases of postoperative cardia carcinoma and esophageal carcinoma; 2 cases of esophageal carcinoma af ter radiotherapy; 1 cases of laryngosyrinx of postoperative laryngeal carcinoma). The fistulae of 5 cas es were obstructed at once after we placed stents. The dysphagia was reduced considerably in all pa tients. And the complications after treatment were different. The displacement of stent occurred in 1 case,and b1ockage in 1 case. Conclusion Treatment of esophageal stricture with ultraflex esophageal prosthesis under the endoscopy was simple and accurate. The efffects of dilation are better than those under the X ray.更多还原