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时间:2020-06-19
《内镜下覆膜食管支架治疗食管癌性狭窄及食管气管瘘的临床应用价值.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、一222一现代消化及介入诊疗2014年第19卷第4期ModemDigestion&Intervention2014,Vol·19,No·4·论著·内镜下覆膜食管支架治疗食管癌性狭窄及食管气管瘘的临床应用价值蒋波涛李桂红李荣华杨艺王英辛国秋周洲【摘要】目的探讨内镜下覆膜食管支架治疗食管癌性狭窄及食管气管瘘的临床价值及食管支架置入术并发症的防治。方法回顾性分析163例晚期食管癌患者内镜下覆膜食管支架治疗食管癌性狭窄及食管气管瘘的临床资料,其中7例患者为食管癌性狭窄并食管一支气管瘘伴双下肺感染,l9例患者为食管癌术后复发吻合口狭窄置入镍钛记忆合金覆膜支架。1
2、02例患者由于食管过于狭窄先行食管扩张,再进行内镜下放置食管支架,35例患者直接内镜下置人食管支架。结果163例患者先后放置174个支架,均一次性置入成功,成功率为100%。163例患者均有不同程度胸痛不适,有32例支架再狭窄,其中19例单纯行支架内球囊扩张,11例于原支架上端内部分重叠再放置一支架,有26例行氩气刀再通治疗。7例患者出现支架移位,有2例支架进入食管瘘管内于次日在内镜下取出支架重新放置。所有病例均未出现食管破裂、食管血肿或出血等严重并发症,术后患者进食能力提高.食管气管瘘闭合。结论内镜下覆膜食管支架置人术是中晚期食管癌性狭窄简单、安全、
3、有效的姑息治疗方法,能提高患者的生活质量。延长患者的生存期。【关键词】胃镜;食管癌;覆膜食管支架;食管狭窄;食管气管瘘;并发症Thevalueofclinicalapplicationofcoveredesophagealstentinthetreatmentofmalignantesophagealstenosisandesophago-trachealfistulaunderendoscopeJIANGBo一zLIGui—hong,LIRong—hua,YANGYi,WANGYing,XINGuo-qiu,ZHOUZhou.TheDepartmen
4、tofSpleenandStomach,AfiliatedChongqingBeibeiHospitalofTraditionalChineseMedicine,GuangzhouUniversityofChineseMedicine,Chongqing400711,China【Abstract】ObjectiveToinvestigatetheclinicalvalueofcoatedesophagealstentinthetreatmentofma—lignantesophagealstenosisandesophago-trachealfistu
5、laanditsrelatedcomplications.MethodAretrospec—tiveanalysiswasmadefrom163advancedesophagealcancerpatientswhoweretreatedusingcoveredesophagealstentinordertodealwiththeesophagealstenosisandesophago-trachealfistula.Amongthem,7patientsforesophagealstenosisandesophagealandesophago-tra
6、chealfistulawithdoublelunginfection,19patientsforanastomoticstenosisduetopostoperativerecurrenceofesophagealcancer.ResultsOnehundredandseventyfourstentswereimplantedsuccessfullyin163patients.thesuccessratewas100%.Afterstentim—plantation,allpatientshadchestdiscomfortinvariousdegr
7、ees.Restenosisoccurredin32patients,including19patientsunderwentstentballoondilatation,11patientsimplantedstentagainintheupperendofthebracketinmannerofpartiallyoverlapped,and26patientsunderwentargonknifereperfusiontherapy.StentmigrationOC-curedin7patients.Noseriouscomplicationssu
8、ch,asruptureoftheesophagus,esophagealhematomaor
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