CAJ | 학술논문

目的：评价覆膜支架置入治疗食管恶性狭窄的临床效果，并探讨术后并发症的相关因素和对策。方法：115例食管恶性狭窄患者在DSA下经口置入覆膜食管支架。支架使用国产支架，以16 mm直径支架为主。结果：手术成功率100%，共置入覆膜食管支架124枚。术后患者临床症状显著好转或消失。并发症包括严重疼痛2例（1.7%），再狭窄6例（5.2%），支架移位7例（6.0%），支架脱落2例（1.7%），严重贴覆不良2例（1.7%），支架端瘘1例（0.8%），支架腔嵌塞2例（1.7%），大出血1例（0.8%）。结论：覆膜支架置入治疗食管恶性狭窄是一种非常有效的方法，但是有一定风险。
목적：평개복막지가치입치료식관악성협착적림상효과，병탐토술후병발증적상관인소화대책。방법：115례식관악성협착환자재DSA하경구치입복막식관지가。지가사용국산지가，이16 mm직경지가위주。결과：수술성공솔100%，공치입복막식관지가124매。술후환자림상증상현저호전혹소실。병발증포괄엄중동통2례（1.7%），재협착6례（5.2%），지가이위7례（6.0%），지가탈락2례（1.7%），엄중첩복불량2례（1.7%），지가단루1례（0.8%），지가강감새2례（1.7%），대출혈1례（0.8%）。결론：복막지가치입치료식관악성협착시일충비상유효적방법，단시유일정풍험。
Objective: To evaluate the clinical efficacy of the covered stent placements in the treatment of malignant esophageal stenosis and analyze the interrelated factors and counter measures of complications.Method: 115 patients with malignant esophageal stenosis underwent treatment with the covered stent placements through the mouths under DSA fluoroscopy. The stents included China-made and the 16 mm stents were main choice.Result: The successful rate of operation was 100%, 124 covered stents were placed in total. The clinical symptoms of patients disappeared orabated obviously. Complications included: Severe pain in 2 cases (1.7%), restenosis in 6 cases (5.2%), stent migration in 7 cases (6.0%), stent fell off in 2 cases (1.7%), serious malapposition in 2 cases (1.7%), esophagus-mediasti-num fistula in 1 case (0.8%), stent jam in 2 cases (1.7%), massive hemorrhage in 1 case (0.8%).Conclusion: The covered stent placement in the treatment of malignant esophageal stenosis is a high effective method, but there is a certain risk.