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本文报告了可伸展型金属支架治疗食管良、恶性狭窄的临床效果,作者采用钛镍记忆合金支架和带膜不锈铜支架治疗食管恶性狭窄71/次,食管良性狭窄49例/次,其中分别对食管、贲门癌术后吻合口狭窄、晚期食管癌、贲门癌严重吞咽因难、食管癌放疗后狭窄、食管化学烧伤后狭窄、食管癌合并食管气管瘘进行置管治疗,其操作过程显示:借助内窥镜技术和放射介入技术,能有效地解除消化道梗阻,对改善患者的全身营养状况,提高生活质量有积极的意义,而且这项技术较之传统的置管治疗具有操作简单,病人痛苦小,效果确切等优点,有临床推广价值。
This article reports the clinical effects of stretchable metal stents for the treatment of benign and malignant esophageal strictures. The authors used titanium-nickel-memory alloy stents and coated stainless steel stents to treat 71 cases of malignant esophageal strictures and 49 cases of benign esophageal strictures, respectively. Anesthesia stenosis, advanced esophageal cancer, advanced gastric cancer, cardia cancer severe dysphagia, esophageal cancer after radiotherapy stenosis, esophageal chemical burn stenosis, esophageal cancer with esophageal tracheal fistula catheterization treatment, the operation process showed: The use of endoscopic techniques and radiological intervention techniques can effectively relieve obstruction of digestive tract. It is of positive significance to improve the body’s nutritional status and improve the quality of life of patients. Moreover, this technique has a simpler operation than traditional catheterization. It has the advantages of small pain, exact effect and so on. It has clinical promotion value.