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镍钛形状记忆合金支架治疗食管狭窄(附19例临床报告)

[The treatment to esophagus stricture with Ni-Ti shape memory alloy stand(with the report of 19 clinical cases)].

作者信息

Song X, Peng J, Han H, Zheng Y, Guo Z, Xu Y, Cai X

机构信息

Department of Otolaryngology, People's Hospital of Guangdong, Guangzhou 510080.

出版信息

Lin Chuang Er Bi Yan Hou Ke Za Zhi. 1999 Oct;13(10):446-7.

Abstract

OBJECTIVE

To discuss the use of Ni-Ti shape memory alloy stand in treating the stricture of esophagus.

METHOD

After finding the stricture part of esophagus under X-ray, the metal guide string was put through the esophagoscope. Dilatation of esophagus was performed firstly. Then the inserting instrument, which has the Ni-Ti shape memory alloy stand inside, was put through the stricture part along the metal guide string and the stand which can return to its original shape automatically was released. Barium meal examination of esophagus was performed after the operation to determine the site of the stand and to realize the smooth degree of esophagus.

RESULT

All 19 patients got a successful operation at one time. They swallowed freely after the operation. The effective rate was 100%.

CONCLUSION

Ni-Ti shape memory alloy stand can dilate the stricture of esophagus quickly, improve swallowing function obviously. The operation can be easily performed. The therapeutic effectiveness is reliable, and there is no serious complication. This can be used as a routine method in treating the stricture of esophagus.

摘要

目的

探讨镍钛形状记忆合金支架在治疗食管狭窄中的应用。

方法

在X线下找到食管狭窄部位后,将金属导丝经食管镜置入。先进行食管扩张。然后将内置镍钛形状记忆合金支架的置入器械沿金属导丝穿过狭窄部位,释放能自动恢复原形的支架。术后行食管钡餐检查,确定支架位置及食管通畅程度。

结果

19例患者均一次手术成功。术后吞咽自如,有效率达100%。

结论

镍钛形状记忆合金支架能迅速扩张食管狭窄,明显改善吞咽功能。手术操作简便,治疗效果可靠,无严重并发症。可作为治疗食管狭窄的常规方法。

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