良性食管狭窄的临时性部分覆盖金属支架置入术
Temporary partially-covered metal stent insertion in benign esophageal stricture.
作者信息
Cheng Ying-Sheng, Li Ming-Hua, Chen Wei-Xiong, Chen Ni-Wei, Zhuang Qi-Xin, Shang Ke-Zhong
机构信息
Department of Radiology, Sixth People's Hospital, Shanghai Jiaotong University, Shanghai 200233, China.
出版信息
World J Gastroenterol. 2003 Oct;9(10):2359-61. doi: 10.3748/wjg.v9.i10.2359.
AIM
To study the therapeutic efficacy of temporary partially-covered metal stent insertion on benign esophageal stricture.
METHODS
Temporary partially-covered metal stent was inserted in 83 patients with benign esophageal stricture. All the patients had various dysphagia scores.
RESULTS
Insertion of 85 temporary partially-covered metal stents was performed successfully in 83 patients with benign esophageal stricture and dysphagia was effectively remitted in all the 83 cases. The dysphagia score was 3.20+/-0.63 (mean+/-SD) and 0.68+/-0.31 before and after stent insertion, and 0.86+/-0.48 after stent removal. The mean diameter of the strictured esophageal lumen was 3.37+/-1.23 mm and 25.77+/-3.89 mm before and after stent insertion, and 16.15+/-2.96 mm after stent removal. Follow-up time was from 1 week to 96 months (mean 54.26+/-12.75 months). The complications were chest pain (n=37) after stent insertion, and bleeding (n=12) and reflux (n=13) after stent removal.
CONCLUSION
Temporary partially-covered metal stent insertion is one of the best methods for treatment of benign esophageal stricture.
目的
探讨临时性部分覆膜金属支架置入术治疗良性食管狭窄的疗效。
方法
对83例良性食管狭窄患者置入临时性部分覆膜金属支架。所有患者均有不同程度的吞咽困难评分。
结果
83例良性食管狭窄患者成功置入85枚临时性部分覆膜金属支架，83例患者吞咽困难均得到有效缓解。置入支架前、后吞咽困难评分为3.20±0.63（均值±标准差）和0.68±0.31，取出支架后为0.86±0.48。狭窄食管腔平均直径置入支架前、后分别为3.37±1.23mm和25.77±3.89mm，取出支架后为16.15±2.96mm。随访时间为1周~96个月（平均54.26±12.75个月）。并发症为置入支架后胸痛（37例），取出支架后出血（12例）和反流（13例）。
结论
临时性部分覆膜金属支架置入术是治疗良性食管狭窄的最佳方法之一。
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