CAJ | 학술논문

目的评价国产可回收食管覆膜金属内支架治疗贲门失弛缓症的临床疗效.方法对16例临床诊断为贲门失弛缓症的患者,在DSA监视下经口腔置人"Z"型双喇叭口覆膜金属内支架,28 d左右进行食管造影并同收内支架.结果 16例中1例于术后2周支架脱落入胃腔内,经取出重新放置成功;所有病例在28 d左右顺利取出,未出现严重并发症;随访3个月～3年,2例分别于术后1、1.5年出现再狭窄,经球囊扩张好转.所有患者无吞咽困难等临床症状.结论可回收食管覆膜金属内支架治疗贲门失弛缓症,具有操作简便、安全、效果显著、并发症少、再狭窄率低等优点.
목적 평개국산가회수식관복막금속내지가치료분문실이완증적림상료효.방법 대16례림상진단위분문실이완증적환자,재DSA감시하경구강치인"Z"형쌍나팔구복막금속내지가,28 d좌우진행식관조영병동수내지가.결과 16례중1례우술후2주지가탈락입위강내,경취출중신방치성공;소유병례재28 d좌우순리취출,미출현엄중병발증;수방3개월～3년,2례분별우술후1、1.5년출현재협착,경구낭확장호전.소유환자무탄인곤난등림상증상.결론 가회수식관복막금속내지가치료분문실이완증,구유조작간편、안전、효과현저、병발증소、재협착솔저등우점.
Objective To evaluate the clinical effect of retrievable esophageal covered metal internal stent in treating patients with achalasia.Methods Under DSA guidance,peroral"Z-type"double horn covered metal internal stent implantation was performed in 16 patients with achalasia.Esophagography was carried out about 28 days after the procedure and the stent was retrieved.Results Of 16 cases,the stent fell off into the stomach two weeks after the operation in one.And the stent was successfully replaced after it was taken out.The placed stent was successfully retrieved in all cases 28 days after the treatment.No serious complications occurred.All the patients were followed up for 3 months to 3 years.During the follow-up period restenosis of the esophagus developed in two cases(at one and 1.5 years respectively),and the restenosis degree was relived after balloon dilation.Clinically,no esophageal symptoms,such as dysphagia,occurred in all patients.Conclusion As a simple and safe technique,the retrievable esophageal covered metal internal stent implantation is very effective with fewer complications for the treatment of achalasia.Moreover,the technique carries lower restenosis occurrence.