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目的评价覆膜食管支架置入术治疗食管恶性狭窄的临床效果并探讨手术并发症的相关因素和对策。方法102例食管恶性狭窄患者在X线监视下经口置入覆膜食管支架。支架使用国产和进口2种类别、规格多样。92例于支架置入前(后)完成了放射治疗。随访。结果手术成功率100%,共置入覆膜食管支架110枚。术后患者临床症状消失或显著好转。并发症包括:胸骨后疼痛36例(35.3%),再狭窄7例(6.9%),食管返流6例(5.9%),支架移位6例(5.9%),食管出血4例(3.9%),支架端瘘1例(1%),支架腔嵌塞1例(1%)及支架脱落并部分丝线断裂1例(1%)。中位生存期10.6个月。结论覆膜食管支架置入治疗食管恶性狭窄是一种非常有效且简便易行的方法,但并不十分安全。
Objective To evaluate the clinical effect of laminoplasty and esophageal stenting in the treatment of malignant esophageal stenosis and explore the related factors and countermeasures of surgical complications. Methods A total of 102 patients with esophageal malignant stenosis underwent oral X-ray monitoring. Scaffold use of domestic and imported 2 categories, specifications and diverse. 92 patients completed radiotherapy before (after) stent implantation. Follow-up. Results The successful rate of operation was 100%. A total of 110 esophageal stents were placed. Postoperative clinical symptoms disappeared or significantly improved. Complications included 36 cases (35.3%) of post-sternal pain, 7 cases of restenosis (6.9%), 6 cases of esophageal reflux (5.9%), 6 cases of stent displacement (5.9%) and 4 cases of esophageal bleeding (3.9% ), 1 case of stent-end fistula (1%), 1 case of stent-graft embolism (1% The median survival of 10.6 months. Conclusion Surgical treatment of esophageal malignant stenosis with stent implantation is a very effective and easy-to-use method, but it is not very safe.