CAJ | 학술논문

目的探讨采用国产覆膜金属内支架治疗食管癌性狭窄的疗效和安全性.方法 47例癌性食管狭窄不愿意或不能手术的患者,均未经放射治疗.其中食管上段狭窄8例,食管中段狭窄12例,食管下段狭窄27例(其中贲门癌12例).针对不同部位,选用不同直径、不同开口形状的国产支架,行经口腔支架置放术.随访5～16个月,平均11个月.结果 47例48个支架置入技术操作全部成功.所有患者术后吞咽困难改善在Ⅰ级以上,达到0级或Ⅰ级.术后3个月发生一过性狭窄1例,是肿瘤向支架近端生长造成,经置入第2枚支架后改善.结论国产覆膜金属内支架置入治疗癌性食管狭窄是安全的,能有效缓解吞咽困难.
목적 탐토채용국산복막금속내지가치료식관암성협착적료효화안전성.방법 47례암성식관협착불원의혹불능수술적환자,균미경방사치료.기중식관상단협착8례,식관중단협착12례,식관하단협착27례(기중분문암12례).침대불동부위,선용불동직경、불동개구형상적국산지가,행경구강지가치방술.수방5～16개월,평균11개월.결과 47례48개지가치입기술조작전부성공.소유환자술후탄인곤난개선재Ⅰ급이상,체도0급혹Ⅰ급.술후3개월발생일과성협착1례,시종류향지가근단생장조성,경치입제2매지가후개선.결론 국산복막금속내지가치입치료암성식관협착시안전적,능유효완해탄인곤난.
Objective To observe the effect and safety of home-made metallic stent implantation in the treatment of malignant esophageal stricture. Methods Among 47 cases with malignant esophageal stricture, there were 8 cases in superior esophagus, 12 cases in middle esophagus,27 cases in inferior esophagus, and 12 cases with gastric cardia carcinoma. Those cases were not suitable or willing to accept surgical operation. Before stenting, radiotherapies were not done in all cases. Different shape home-made metallic stents were used to place the segment of structure via mouth according to the positions and diameters of esophageal stricture. The follow-up periods was 5 ～ 16 months. Results 48 stents were implanted successfully in 47 patients. After operation,swallow was improved in all patients. No major complications occurred in these groups. Restenosis occurred in the third month post-operation in 1 case owing to tumor relapsed and grew at proximal stent, and another stent was implanted successfully. Conclusions Stents implantation for malignant stricture can effectively and safely relieve the dysphasia.