CAJ | 학술논문

目的：研究应用带膜的镍钛合金金属内支架治疗食管的良恶性狭窄。方法：共60例患者，不能手术晚期食管癌19例，食管癌放疗后引起的食管狭窄20例，手术后吻合口狭窄18例，手术后吻合口瘘2例，腐蚀性食管炎1例，4例合并食管-气管瘘或食管-纵隔瘘。所用器械包括：6F猎人头导管，0.035长1.8m交换导丝，食管球囊导管，支架推送器和50—120 mm镍钛合金金属支架。全部在电视透视下进行，局部口咽部麻醉。结果：全部病例均获成功，其中一例患者因狭窄位置较高，支架置入后48小时取出，术后进食良好。结论：带膜的镍钛合金金属内支架对食管的恶性狭窄进行姑息性治疗是提高患者生存质量安全有效的方法；对手术后吻合口瘘与狭窄和食管-气管瘘或食管-纵隔瘘起到了较好的治疗作用。
목적：연구응용대막적얼태합금금속내지가치료식관적량악성협착。방법：공60례환자，불능수술만기식관암19례，식관암방료후인기적식관협착20례，수술후문합구협착18례，수술후문합구루2례，부식성식관염1례，4례합병식관-기관루혹식관-종격루。소용기계포괄：6F작인두도관，0.035장1.8m교환도사，식관구낭도관，지가추송기화50—120 mm얼태합금금속지가。전부재전시투시하진행，국부구인부마취。결과：전부병례균획성공，기중일례환자인협착위치교고，지가치입후48소시취출，술후진식량호。결론：대막적얼태합금금속내지가대식관적악성협착진행고식성치료시제고환자생존질량안전유효적방법；대수술후문합구루여협착화식관-기관루혹식관-종격루기도료교호적치료작용。
Purpose：Fabric-covered esophageal nitiol stents were used for palliative treatment of benign and malignant esophageal strictures.Methods：60 cases had intraluminal stents intubation .The strictures were caused by advanced esophageal carcinoma (n=19)，post-radiotherapy stenosis (n=20),post operative anastomotic stenosis(n=18), post-operative perforation(n=2),and ingestion of alkali(n=1),as well as 4 cases with esophageal-tracheal fistula or esophgomediastinum fistula. The instruments used were as follows :6F hunt catheter ,guide wire ,stent pusher ,balloom catheter and nitinol metallic stent in diameter from 50 mm to 120 mm . The intervention was performed under fluoroscopic guidance and local oropharyngeal anaesthesia. Results：All cases had their stents placed successfully. 1 case with high esophageal stricture had to have his stent removed after 48 hours，after-operation the patient could take quite well. Conclusions：Dacron knot fabric covered stent is safe and effective palliative treatment for esophageal stricture and anastomotic perforation or stenosis of some patients.