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目的：介绍经胃镜放置自膨式食管支架的方法、个人体会以及常见并发症的预防和处理。方法：１９９６年６月－１９９８年６月作者使用国产自膨式食管支架，对１０６例食管良恶性疾病所致的食管梗阻及食管，气管瘘进行治疗。结果：１０６例中包括恶性疾病７１例：食管癌４２例（其中并发食管，气管瘘者３例），贲门癌１４例，食管、贲门癌术后吻合口复发１１例，食管癌放疗后复发４例。均达到了改善进食，提高生活质量的姑息治疗目的。良性疾病３５例：食管－胃吻合口狭窄２８例，返流性食管炎所致食管狭窄１例，化学灼伤致食管狭窄１例，放疗后食管狭窄４例，食管憩室穿孔致食管左主支气管瘘１例，均获满意的治疗效果。结论：自膨式食管支架的放置操作简单，所需设备不多，疗效可靠，安全。且国产支架价格低廉，故作者认为是一项值得推广的技术。
Objective: To introduce the method of self-expanding esophageal stent placement by gastroscope, personal experience and prevention and treatment of common complications. METHODS: From June 1996 to June 1998, the authors used homemade self-expanding esophageal stents to treat 106 cases of esophageal obstruction and esophageal and tracheal fistula caused by esophageal benign and malignant diseases. RESULTS: Among the 106 cases, 71 cases included malignant disease: 42 cases of esophageal cancer (including esophageal obstruction and tracheal fistula in 3 cases), 14 cases of cardiac cancer, 11 cases of recurrence of anastomotic stoma after esophageal and cardiac cancer, and recurrence of esophageal cancer after radiotherapy. example. All have achieved the goal of palliative care that improves eating and improves the quality of life. 35 cases of benign diseases: 28 cases of esophageal-gastric anastomotic stricture, 1 case of esophageal stricture due to reflux esophagitis, 1 case of esophageal stricture caused by chemical burn, 4 cases of esophageal stricture after radiotherapy, and perforation of esophageal diverticulum leading to esophageal left main bronchial fistula In 1 case, satisfactory results were achieved. Conclusion: The placement of self-expanding esophageal stents is simple, the required equipment is not much, and the curative effect is reliable and safe. And domestic stents are cheap, so the author thinks it is worth promoting.