|本期目录/Table of Contents|

[1]肖 奇,熊 斌,谢明水.食管支架治疗恶性食管狭窄的临床观察[J].医学研究与战创伤救治(原医学研究生学报),2011,13(05):422-424.
 XIAO Qi,XIONG Bin,XIE Ming-shui.Clinical observation of self-expanding nickel-titanium memorial alloying covered stent in the treatment of malignant esophageal stricture[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2011,13(05):422-424.
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食管支架治疗恶性食管狭窄的临床观察()

《医学研究与战创伤救治》(原医学研究生学报)[ISSN:1672-271X/CN:32-1713/R]

卷:
第13卷
期数:
2011年05期
页码:
422-424
栏目:
出版日期:
2011-09-20

文章信息/Info

Title:
Clinical observation of self-expanding nickel-titanium memorial alloying covered stent in the treatment of malignant esophageal stricture
文章编号:
1672-271X(2011)05-0422-03
作者:
肖 奇熊 斌谢明水
353000 福建南平,解放军92医院肿瘤科
Author(s):
XIAO QiXIONG BinXIE Ming-shui
Department of Medical Oncology,92 Hospital of PLA,Nanping,Fujian 353000,China
关键词:
食管狭窄恶性食管肿瘤支架
Keywords:
esophageal stricturemalignant esophageal neoplasm stent
分类号:
R571.1
DOI:
-
文献标志码:
A
摘要:
目的 观察自膨式镍钛记忆合金网状带膜支架治疗恶性食管狭窄的近期疗效及并发症。方法 对2003年8月至2010年12月采用国产自膨式镍钛记忆合金网状带膜支架治疗恶性食管狭窄75例,在X线辅助下用超滑导丝和导引管引入超硬导丝,沿导丝直接将支架置入器插入狭窄部,将支架释放入预定部位。结果 75例共置支架79个,均一次成功,成功率100%,近期疗效满意,未出现穿孔、大出血或死亡等严重并发症。结论 食管内支架置入术操作简单、安全,近期临床疗效明显,并发症轻,是恶性食管狭窄的姑息性治疗手段。
Abstract:
Objective To observe the short-term efficacy and complications of self-expanding nickel-titanium memorial alloying covered stents in treating the patients with malignant esophageal stricture. Methods Seventy-five patients with malignant esophageal stricture between August,2003 and December,2010 had been studied. The patients were treated with a domestic self-expanding nickel-titanium memorial alloying covered stents under X-ray and the guiding of super slip wire and catheter. The stiff type guide wire was introduced and the stents were placed after the stenosis had been dilated. Results Seventy-nine stents were placed in 75 patients. All stents were successfully placed only once without serious complication including the rupture,esophageal perforation,bleeding or death. The dysphagia of the patients also was obvious improvement. Conclusion Stent placement is a safe,efficient,non-invasive mothed. The covered stent is also a better palliative treatment to cure the esophageal malignant esophageal stricture. However,how to minimize the complications and reobstruction needs to be further investigated.

参考文献/References:

[1]李 峰,俞力超,程兆明.食管支架置入的临床应用及常见并发症[J].中国组织工程研究与临床康复,2010,14(9):1693-1696.
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[3]兆天欣.食管支架置入的临床适用性及其特点[J].中国组织工程研究与临床康复,2008,12(52):10335-10338.
[4]尧登华,李政文.记忆合金支架置入治疗食管癌性狭窄36例[J].西南军医,2006,8(4):63.
[5]孟晓明,关晓辉,杨志平.内镜与X线下食管支架置入治疗食管癌性狭窄的临床对比[J].中国内镜杂志,2010,16(3):258-260.
[6]王 忠,张栋华,倪厚杰,等.食管内支架置入的并发症及随访分析[J].青岛医药卫生,2007,39(3):163-165.
[7]胡团敏,郑溪水,黄永德,等.内镜下置入不同型号食管支架疗效观察[J].东南国防医药,2006,8(1):25-26.
[8]Conio M,Repici A,Battaglia G,et al.A randomized prospective comparison of self-expandable plastic stents and partially covered self-expandable mental stents in the palliation of malignant esophageal dysphagia[J].Am J Gastroenterol,2007,102(12):2667-2677.
[9] 仲继宽.金属食管支架置入术后再狭窄相关因素分析及防治[J].安徽医药,2010,14(4):446.

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备注/Memo

备注/Memo:
-
更新日期/Last Update: 2011-09-20