目的:探讨国产自膨式镍钛记忆合金食管支架在食管、贲门良恶性狭窄及食管瘘中的临床应用并观察疗效。方法:收集我院2005年11月~2008年8月采用胃镜辅助置入镍钛记忆合金食管支架的患者108例,其中男90例,女18例,年龄37~88岁;包括食管癌性狭窄41例,贲门癌性狭窄5例,放疗后狭窄1例,肺癌压迫致食管狭窄1例,食管、贲门癌术后吻合口顽固性狭窄21例,食管癌术后复发致狭窄6例,食管瘘33例。结果:108例患者共置入食管支架116枚,一次性置入成功率100%,置入后患者吞咽梗阻的症状有不同程度的改善,呛咳的症状基本消失。结论:食管支架置入操作简单、安全,成功率高,是治疗食管良恶性狭窄及封堵瘘口的有效方法。
Citation:
WANG Xiangyang,MA Hongsheng,RAO Linqiang,et al.. The Clinical Aplication and Efficacy of Domestic Self-expanding Nickel-titanium Memorial Alloying Covered Stent. West China Medical Journal, 2009, 24(2): 383-385. doi:
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- 1. 陈君辉,胡大武,王光建,等.国产被膜支架治疗食管恶性狭窄疗效观察(附27例报告)[J].实用放射学杂志,2003,19(4):377-378..
- 2. Shimi SM.Selfexpanding metallic stents in the management of advanced esophageal cancer:a review[J].Semin Laparosc Surg,2000,7(1):9-21..
- 3. Radecke K,Gerken G,Treichel U.Impact of a selfexpanding,plastic esophageal stent on various esophageal stenoses,fistulas,and leakages:a singlecenter experience in 39 patients[J].Gastrointest Endosc,2005,61(7):812- 818..
- 4. Weigert N,Neuhaus H,Rsch T,et al.Treatment of esophagorespiratory fistulas with siliconecoated selfexpanding metal stents[J].Gastrointest Endosc,1995,41(5):490496..
- 5. 曹明发,刘书萍,张政琴,等.记忆合金支架内镜下置入治疗食管狭窄[J].中国内镜杂志,2001,7(5):67-69..