Zhang Kai, Wei Shufang, Wu Jiahong, Li Caixia, Ma Xiangxing, Wang Qingliang
Department of Radiology, Qilu Hospital of Shandong University Jinan, Shandong, China.
Zongheer Ward, Qilu Hospital of Shandong University Jinan, Shandong, China.
Int J Clin Exp Med. 2015 Jun 15;8(6):8860-5. eCollection 2015.
To introduce a convenient, quick and effective way to place self-expandable metal stents (SEMSs) to relieve dysphagia and fistula caused by esophageal carcinoma.
A consecutive series of 36 patients (25 men, 11 women), aged 38-82 years (median, 52.7 years) underwent stent placement using a 7F long sheath of 55 cm and fully covered SEMS under local anesthesia with fluoroscopic control.
Stent placement was successful in all patients. Swallowing improved from mean dysphagia score 3.44 ± 0.50 to score 0.69 ± 0.71 (P = 0.000). There were no clinically significant complications during and after the deployment of stents. Migration was noted in 4 patients. Restenting was needed in 3 patients. Removal was needed in 2 patients. Mean survival following stenting was 134.14 d.
SEMSs provide rapid, safe and effective relief of dysphagia and fistula. Using the 7F long sheath of 55 cm could make the procedure easy, quick and safe.
介绍一种放置自膨式金属支架（SEMS）以缓解食管癌所致吞咽困难和瘘管的简便、快速且有效的方法。
连续36例患者（25例男性，11例女性），年龄38 - 82岁（中位年龄52.7岁），在局部麻醉及透视引导下，使用55 cm的7F长鞘管和全覆膜SEMS进行支架置入。
所有患者支架置入均成功。吞咽困难评分从平均3.44±0.50改善至0.69±0.71（P = 0.000）。支架置入过程中及置入后无临床显著并发症。4例患者出现支架移位。3例患者需要再次置入支架。2例患者需要取出支架。支架置入后的平均生存期为134.14天。
SEMS能快速、安全且有效地缓解吞咽困难和瘘管。使用55 cm的7F长鞘管可使操作简便、快速且安全。
