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目的观察胃镜下支架植入术应用于食管梗阻治疗的效果。方法回顾性分析医院收治的胃镜下食管支架植入术患者56例临床资料,观察患者胃镜下食管支架植入术的手术成功率、手术前后食管狭窄段直径变化、吞咽困难的变化、术后不良反应。结果 56例胃镜下食管支架植入术全部顺利完成,手术成功率100%。手术后食管狭窄段直径显著长于手术前(P<0.01);手术后吞咽困难症状优于手术前,差异有统计学意义(P<0.01);术后出现出血、食物堵塞支架等并发症,经对症治疗均已好转。结论应用胃镜下支架植入术治疗食管梗阻具有良好的临床疗效,术后并发症少,安全可靠,值得临床推广应用。
Objective To observe the effect of endoscopic stent-graft in the treatment of esophageal obstruction. Methods The clinical data of 56 cases underwent endoscopic esophageal stent implantation in our hospital were analyzed retrospectively. The success rate of esophageal stent implantation, the diameter of esophageal stricture, the change of dysphagia and the postoperative poor reaction. Results 56 cases of endoscopic esophageal stent implantation were successfully completed, the success rate of 100%. The diameter of esophageal stricture after operation was significantly longer than that before operation (P <0.01). The symptoms of dysphagia after operation were better than those before operation (P <0.01), complications such as hemorrhage and food blockage after operation, Symptomatic treatment have been improved. Conclusion The application of endoscopic stent implantation in the treatment of esophageal obstruction has good clinical curative effect, less postoperative complications, safe and reliable, and is worthy of clinical application.