CAJ | 학술논문

目的探讨带膜内支架置入治疗晚期食管癌所致食管恶性狭窄及伴有食管-气管瘘、食管-纵隔瘘的临床应用价值.方法 23例晚期食管癌患者,男17例,女6例,7例合并食管-气管瘘,1例合并食管-纵隔瘘,均在透视下一次性成功置入自膨式带膜内支架.结果 15例单纯性食管狭窄患者内支架置入后,吞咽困难得以缓解,进食级别提高2～3级;合并有食管-气管瘘患者7例、食管-纵隔瘘患者1例在置入带膜内支架后,瘘口完全封闭.通过后期抗感染治疗,肺炎和纵隔炎症得以有效控制.结论带膜内支架置入是治疗晚期食管癌所致的食管狭窄和封堵食管-气管、食管-纵隔瘘瘘口,解决患者进食困难,增加营养的有效方法.其方法简单、安全,近期效果显著,无明显并发症发生.
목적 탐토대막내지가치입치료만기식관암소치식관악성협착급반유식관-기관루、식관-종격루적림상응용개치.방법 23례만기식관암환자,남17례,녀6례,7례합병식관-기관루,1례합병식관-종격루,균재투시하일차성성공치입자팽식대막내지가.결과 15례단순성식관협착환자내지가치입후,탄인곤난득이완해,진식급별제고2～3급;합병유식관-기관루환자7례、식관-종격루환자1례재치입대막내지가후,루구완전봉폐.통과후기항감염치료,폐염화종격염증득이유효공제.결론 대막내지가치입시치료만기식관암소치적식관협착화봉도식관-기관、식관-종격루루구,해결환자진식곤난,증가영양적유효방법.기방법간단、안전,근기효과현저,무명현병발증발생.
Objective To evaluate the clinical value and safety of intraluminal stent as a treatment of malignant stenosis of esophagus and esophago - bronchial fistula because of late stage esophageal cancer. Methods Self - expanding covered stents were successfully deployed in 23 patients ( 17 male and 6 female) suffering from late stage esophageal cancer under DSA guidance. Esophago - bronchial fistula occurred in 7 cases,and mediastinal fistula occurred in 1 case. Results In 15 patients suffered from only the stenosis of digestive tract, function of swallowing was restored after the stent was placed in stenosis segment, and the grade of dieting was improved by 2 - 3 classes. Symptoms of 8 cases accompanied with esophago - bronchial fistula were relieved after stenting, and their fistula were completely occluded. The pneumonia was effectively controlled by antibiotics. Conclusion It is an effective, easy and safe method to treat malignant stenosis of digestive tract or esophago - bronchial fistula using covered stents. There is no major complication.