摘要
本文报道了１５个带有硅酮内膜的自膨式金属Ｇ一ＲＺ型内支架在食管狭窄中的应用结果。在Ｘ线透视下经口放置，１０例恶性食管狭窄和２例良性狭窄全部成功，未发生技术性并发症或死亡。放置２４～４８ｈ后，吞咽程度由术前平均４．５级降至１．５级，均能进普食或软食；１２例中５例有并发症，其中３例内支架移位，２例食物嵌塞，另有７例轻度胸痛。随访观察１～５个月，１１例仍存活，１例死于心衰，内支架均保持通畅。结果提示，食管自膨式金属内支架放置操作简单、安全，是食管狭窄和食管天气管瘘有效的保守疗法。
Fifteen modified silicone coated Gianturco-Rosch self- expanding metallic Z stents (4 Cook'S production and 11home-made) were perorally implanted in 10 patients with malignant esophageal stricture and two with benign stenosis.All stents were placed with fluroscopic guidance without any technical failure or procedure morbility or mortality. 24 to 48 hours after placement, dysphagia was improved in 12 patients, defined by a decreasement of 5 dysphagia grades, the mean dysphagia grade fell from 4.5 to 1.5 All patients could ingest solidor semisolid food Complications occurred in 5 patients including stent migration (3 patients), food impaction(2 cases) and mild chest pain in 7 patients 11 patients were still alive,and one died of heart failure All stents were unobstructed after 1～5months follow up, Our observation indicated that self-expanding metallic stents were easv to insert, safe and effective for palliative treatment of esophageal strictures and esophago-respiratory fistula.
出处
《中国医学影像学杂志》
CSCD
1996年第2期71-73,108,共4页
Chinese Journal of Medical Imaging
关键词
内支架
食管狭窄
金属内支架
外科手术
esophageal neoplasms
stent
esophageal stenosis
radiography
prognosis
