國(guó)產(chǎn)被覆自膨式金屬內(nèi)支架對(duì)食管瘺的臨床應(yīng)用
支架,,支架;治療學(xué);食管瘺,1臨床資料,2結(jié)果,3討論,【參考文獻(xiàn)】
【摘要】 目的 評(píng)價(jià)國(guó)產(chǎn)被覆自膨式金屬內(nèi)支架治療惡性食管瘺的效果和適用性。方法 利用DSA高清晰度X線電視造影、定位和監(jiān)視釋放。經(jīng)口在0.038直頭導(dǎo)絲引導(dǎo)下對(duì)癌性食管瘺36例置入雙喇叭型國(guó)產(chǎn)被覆自膨式金屬內(nèi)支架,隨訪3~12個(gè)月。結(jié)果 全部病例均順利置入支架,不僅有效地緩解了進(jìn)食困難,改善了營(yíng)養(yǎng)狀況,同時(shí)還使氣管食管瘺及食管縱隔瘺患者瘺口封閉,為減輕感染及進(jìn)一步治療造成狹窄的原發(fā)病提供了時(shí)機(jī)。結(jié)論 覆膜食管內(nèi)支架置入術(shù)是一種治療食管瘺安全有效的方法。國(guó)產(chǎn)支架操作簡(jiǎn)單,成功率高,安全效果立竿見影,價(jià)格低廉,能為眾多患者接受。【關(guān)鍵詞】 支架;治療學(xué);食管瘺
Application of nationalmade covered metallic selfexpansible stents for the treatment of malignant esophageal fistula
WANG Li,LIU Jingzhang,WANG Zixuan,et al.
Department of Radiology,Qingdao Peoples Hospital,Qingdao 266001,China
【Abstract】 Objective To evaluate the therapeutic effect of nationalmade covered metallic expansibleself stents on malignant esophagotrachedal fistula.Methods 36 cases of malignant esophagotrachedal fistula were inplanted double homed stents.The operation was performed under DSA and followed up for 3~12 months.Results All stents were placed successfully.The symptoms of dysphagia in all cases were relieved so effectively that the food intake ability and nutrition of all patients were improved and fistulous ora of the patients with esophagotrachedal fistula were closed,so that improved the opportunities for the treatment of infections and diseases which caused esophageal stricture.Conclusion Esophageal stent inplantation is safe and effective treatment for malignant esophagotrachedal fistula.It is safer and easier operation with lower price and higher successful rates to use nationalmade stents than foreign stents. ......
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