论文部分内容阅读
目的 评价食管内支架治疗食管癌放疗后狭窄的临床效果及方法探讨。方法 本组 3 6例食管癌放疗后狭窄的患者 ,其中食管 -纵隔瘘 4例 ,食管 -气管瘘 5例 ,食管 -纵隔 -气管瘘 1例。 40枚食管内支架置入均在X线电视监视下进行 ,术后给予抗生素、止血药及镇静止痛药。结果 3 6例患者均成功置入 ,其中 4例置入 2枚支架 ,1例食管气管瘘合并气管狭窄者先置入气管支架 1枚后置入食管支架 ,所有患者术后吞咽困难完全消除或明显缓解 ,食管 -气管或纵隔瘘完全封闭。 1～ 12月随诊观察 ,应用支架直径 1.8cm以上的患者 ,术后反应较大 ,并发症较多。结论 食管内支架治疗食管癌放疗后狭窄 ,选用直径 1.8cm以下的支架 ,更为安全、有效
Objective To evaluate the clinical effects and methods of esophageal stent in the treatment of esophageal cancer stenosis after radiotherapy. Methods The group of 36 patients with esophageal cancer stenosis after radiotherapy, including esophageal - mediastinal fistula in 4 cases, esophageal - tracheal fistula in 5 cases, esophageal - mediastinum - tracheal fistula in 1 case. 40 esophageal stents were placed under the supervision of X-ray television, postoperative antibiotics, hemostatic drugs and sedation painkillers. Results All 36 patients were successfully treated. Four of them were placed in two stents. One patient with esophageal tracheal fistula complicated with tracheal stenosis was placed in esophageal stent after stenting, and all patients had complete elimination of dysphagia or Obviously relieved, esophageal-tracheal or mediastinal fistula completely closed. From January to December follow-up observation, the application of stent diameter 1.8cm or more patients, postoperative response, more complications. Conclusion Esophageal stent treatment of esophageal cancer after radiotherapy stenosis, the selection of the stent diameter of 1.8cm or less, more safe and effective