CAJ | 학술논문

目的：探讨可取出式覆膜支架治疗儿童良性食管狭窄常见并发症的发生因素、预防与处理。方法15例经食管造影确诊的食管狭窄患儿在透视下行支架置入术,并于2~3周将支架取出,术后追踪观察常见并发症的发生。结果全部病例均一次性成功置入支架,患儿的饮食有明显的改善,从流质—半流质—普食逐渐过渡,狭窄段从0.1~0.6 cm 逐渐扩展为0.6~1.5 cm。术后随访1、2、3周,3月,总结并发症主要为支架脱落、移位5例；食管再狭窄2例；食管-气管瘘1例；术后胸骨后钝痛及异物感6例,根据不同的并发症采取不同的预防与处理。结论儿童覆膜食管支架置入术后并发症较成人多,不容忽视,应行积极的预防和处理。
목적：탐토가취출식복막지가치료인동량성식관협착상견병발증적발생인소、예방여처리。방법15례경식관조영학진적식관협착환인재투시하행지가치입술,병우2~3주장지가취출,술후추종관찰상견병발증적발생。결과전부병례균일차성성공치입지가,환인적음식유명현적개선,종류질—반류질—보식축점과도,협착단종0.1~0.6 cm 축점확전위0.6~1.5 cm。술후수방1、2、3주,3월,총결병발증주요위지가탈락、이위5례；식관재협착2례；식관-기관루1례；술후흉골후둔통급이물감6례,근거불동적병발증채취불동적예방여처리。결론인동복막식관지가치입술후병발증교성인다,불용홀시,응행적겁적예방화처리。
Objective To explore risk factors,prevention and treatment of common complications of benign esophageal stenosis treated with the retrievable covered stents in children.Methods Fifteen cases,diagnosed as benign esophageal stenosis by barium esophagogram were treated with retrievable covered stents under fluoroscopy,Then the stents were removed after 2-3 weeks.The cases were followed-up and complications were observed.Results The stents were successful implanted in all cases.The diet was improved obviously after operation,and gradually transformed from liquid,semiliquid to normal feeding.At the same time,narrow section gradually expanded from 0.1-0.6 cm to 0.6-1.5 cm.Postoperative follow-up was in 1,2,3 weeks and 3 months.Main complications were stents shift in 5 cases,esophageal restenosis in 2 cases,esophageal-tracheal fistula in 1 case,postoperative dull pain behind sternum and foreign body sensation in 6 cases.Relevant preventions and treatments were performed based on different complications.Conclusion It should not be ignored that complications after covered stent placement are more in children than in adults,preventions and treatments should be taken positively.