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目的 :本文回顾性分析了金属带膜支架对恶性食管狭窄、吻合口狭窄及食管气管瘘和吻合口瘘的治疗功效。方法 :36例吞咽困难患者放置了Gianturco Z和自膨式金属带膜支架。其中包括恶性食管梗阻 (32例 )、吻合口狭窄 (4例 ) ,合并食管气管瘘 (3例 )和吻合口瘘 (1例 )。结果 :37根支架被成功释放。吞咽困难在 33例患者中获得明显缓解 ,平均吞咽困难积分从 3 .0 2减低到 0 .81。 3例食管气管瘘和 1例吻合口瘘完全堵住。并发症包括胸骨后疼痛 (2 3例 )、支架移位(2 1例 )、上消化道出血 (1 2例 )、返流性食道炎 (1例 )和气管受压迫 (1例 )。结论 :金属带膜支架是治疗食道梗阻、食管气管瘘及吻合口瘘安全、有效的方法
Objective : This article retrospectively analyzed the efficacy of metal stents for the treatment of malignant esophageal stenosis, anastomotic stenosis, and esophageal tracheal fistulas and anastomotic fistulas. Methods: Gianturco Z and self-expanding metal stents were placed in 36 patients with dysphagia. Including malignant esophageal obstruction (32 cases), anastomotic stenosis (4 cases), combined esophageal tracheal fistula (3 cases) and anastomotic leakage (1 case). Results : 37 stents were successfully released. Dysphagia was significantly relieved in 33 patients, and the mean dysphagia score was reduced from 3.02 to 0.81. Three cases of esophageal tracheal fistula and one case of anastomotic leakage completely blocked. Complications included poststernal pain (23 cases), stent dislocation (21 cases), upper gastrointestinal bleeding (12 cases), reflux esophagitis (1 case), and tracheal compression (1 case). Conclusion :Metal membrane stent is a safe and effective method for the treatment of esophageal obstruction, esophageal tracheal fistula and anastomotic fistula