Treatment of high-positioned esophageal diseases with membrane-covered self-expanding stents

WU Qingchen; et al

doi:10.13406/j.cnki.cyxb.2004.02.037

您当前的位置：

首页 >

文章列表页 >

Treatment of high-positioned esophageal diseases with membrane-covered self-expanding stents

更新时间：2024-01-17

- Treatment of high-positioned esophageal diseases with membrane-covered self-expanding stents
- Journal of Chongqing Medical University Issue 2, Pages: 236-238(2004)
- 作者机构：
  
  1. 重庆医科大学临床学院胸心外科
  2. 重庆医科大学临床学院胸心外科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2004.02.037
  CLC： R735.1
- Published：2004，
扫描看全文
[1]吴庆琛,秦治明.带膜支架治疗高位食管疾病[J].重庆医科大学学报,2004(02):236-238.

WU Qingchen, et al. Treatment of high-positioned esophageal diseases with membrane-covered self-expanding stents. [J]. Journal of Chongqing Medical University (2):236-238(2004)
[1]吴庆琛,秦治明.带膜支架治疗高位食管疾病[J].重庆医科大学学报,2004(02):236-238. DOI： 10.13406/j.cnki.cyxb.2004.02.037.

WU Qingchen, et al. Treatment of high-positioned esophageal diseases with membrane-covered self-expanding stents. [J]. Journal of Chongqing Medical University (2):236-238(2004) DOI： 10.13406/j.cnki.cyxb.2004.02.037.

摘要

目的 :探讨食管带膜支架治疗高位食管癌、食管 -气管瘘、吻合口狭窄的效果及支架置入的一些相关问题。方法 :采用内镜法、直接法为高位晚期食管癌、食管 -气管瘘、高位吻合口狭窄等患者 2 3例共置入 2 3个支架。结果 :疗效满意

明显改善了患者生活质量 ;1例支架置入后疼痛严重取出支架 ;3例支架置入位置有误经内镜成功调整 ;6例发生咽功能紊乱经治疗后 5例痊愈

l例取出支架。结论 :食管带膜支架置入术只要定位准确

不失是一种操作简单有效

安全可靠的方法

特别适于晚期食管癌的狭窄和食管 -气管瘘。吻合口狭窄的治疗不首选支架。支架置入后疼痛、咽功能紊乱及支架置入位置有误也可经积极处理解决

Abstract

Objective:To evaluate therapeutic effect of membrane-covered self-expanding metallic stent on high-positioned advanced esophageal carcinoma

esophagotracheal fistula and anastomotic stricture

and relevant problems to stent implantation.Methods:23 membrane-covered self-expandable stents were implanted in 23 patients with high-positioned advanced esophageal carcinoma (12 cases)

esophagotracheal fistula (6 cases) and high-positioned anastomotic stricture (5 cases).The implantation of the stents was performed under endoscope or perorally.Results:The severity of dysphagia was reduced

and life quality of the patients was improved significantly.One stent had to be taken out for severe pain. The positions of 3 stents were successfully adjusted by endoscope for improper position after the first implantation.6 patients suffered from the disorder of pharyngeal function after implantation

among which 5 were cured

and 1 had the stent taken out.Conclusion:Membrane-covered self-expanding metallic stent is effective

safe and easy to insert

especially for patients with the stricture of the high-positioned advanced esophageal carcinoma

and the esophagotracheal fistula.However stent is not the first choice for the treatment of anastomotic stricture.Post-implantation pain

improper position of stent and the disorder of pharyngeal function can be solved by active management.

关键词

食管肿瘤食管-气管瘘吻合口狭窄支架咽功能紊乱

Keywords

Esophageal neoplasmEsophagotracheal fistulaAnastomotic stricturestentDisorder of pharyngeal function

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

An evaluation of the role of various treatments for advanced esophageal carcinoma

Evaluation of membrane-covered self-expanding stent in clinical use

Nursing care of percutaneous transhepatic biliary tract stent implantation for malignant bile duct obstruction

Comparison of safety and efficacy between two types of self-expanding metallic stent in patients with obstructive colorectal cancer

Related Author

CHEN Shifeng

et al

黄绍生

Qin Zhiming

et al

李良彬

温剑虎

杜铭

Related Institution

Department of Thoracocardiac Surgery, the Second College of Clinical Medicine, Chongqing Medical University

重庆绒布总厂职工医院

Department of Thoracic Surgery, College of Clinical Medicine, Chongqing Medical University

Center of Interventional Treatment,the Second Affiliated Hospital,Chongqing Medical University

⁰