摘要
目的:总结食管支架置入的类型,着重探讨食管支架的临床应用情况及食管支架置入后的并发症。方法:由第一作者应用计算机检索维普数据库(http://www.cqvip.com/)与食管支架临床应用有关的文献,检索时限为1998-01/2009-10。检索关键词:食管支架,适应证,并发症。对资料进行初审,并查看每篇文献后的引文。纳入标准:①食管支架的类型。②食管支架的临床应用及食管支架置入后的并发症。排除标准:重复研究文章。依据纳入排除标准共保留相关文献22篇。结果:食管支架置入已成为解除食管良恶性狭窄及食管各类瘘口的重要手段,是近年来国内外治疗食管疾病的新兴技术。食管支架从最初的金属无覆膜支架发展到部分覆膜支架及全覆膜支架,有效解决了相关食管疾病,但是一直受术后胸痛、出血穿孔、胃食管反流、支架移位及脱落、再狭窄等并发症的困扰,积极采取防范措施能减少并发症,提高患者生存质量。结论:现行食管支架类型较多,对需要置入食管支架者,全面考虑病变的各种具体因素,根据具体的病情选择不同类型、不同规格、不同特点的支架,安放时动作准确、轻柔,可最大限度地减少并发症的发生。
OBJECTIVE：To summarize the types of esophageal stent implantation and explore the clinical application and complications following esophageal stent implantation.METHODS：A computer-based online search of VIP database（http：//www.cqvip.com/） was performed for articles about clinical application of esophageal stent implantation,published between January 1998 and October 2009,with the key words ＂esophageal stent,indication,complication＂.The data were collected.and the references were reviewed.Inclusion criteria：Type of esophageal stent;clinical application and complications following esophageal stent implantation.Exclusion criteria：repetitive studies.A total of 22 articles were finally included.RESULTS：Esophageal stent implantation as a novel technique has become an important approach for innocent or malignant esophageal stenosis,as well as orificium fistulae.The metal stent with no cover,partially covered stent and fully-covered stent have effectively cure esophageal diseases.However,patients suffer from the complications,such as chest pain,bleeding and perforation,gastroesophageal reflux,stent dislocation or shedding,and restenosis.Reduction of complications can improve quality of life of the patients.CONCLUSION：There are various types of esophageal stents.Therefore,appropriate selection of type,size,and characteristics of stent according to different disease condition,and accurate operation may minimize incidence of complications.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2010年第9期1693-1696,共4页
Journal of Clinical Rehabilitative Tissue Engineering Research
