Ohara M, Abe T, Tanabe Y, Kusano M, Okayasu T, Hosokawa M
Division of Surgery, Keiyukai Sapporo Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1995 Sep;43(9):1696-9.
To relieve tracheal stenosis due to esophageal carcinoma, we have inserted Dumon-type endotracheal stent tube to 2 patients with stenosis of the left main bronchus and a patient with tracheal stenosis. Severe dyspnea and stridor found in these patients was much improved in all three cases. After insertion of the stent tube to 2 patients with stenosis of the left main bronchus, radiation therapy with the dose of 65 Gy to main esophageal lesion was undergone, which resulted in the partial remission. These management allowed the patients to discharge. The last case with tracheal stenosis was due to recurrence of the esophageal carcinoma, which required additional insertion of the stent tube at the proximal site after initial insertion in a short period. We conclude that the quality of life and prognosis of patients with tracheal stenosis due to advanced esophageal carcinoma may be improved by the insertion of Dumon-type endotracheal stent tube.
为缓解食管癌所致的气管狭窄，我们对2例左主支气管狭窄患者及1例气管狭窄患者置入了杜蒙型气管支架管。这3例患者均存在的严重呼吸困难和喘鸣在置入支架管后均有明显改善。对2例左主支气管狭窄患者置入支架管后，对食管主要病变进行了65 Gy剂量的放射治疗，结果为部分缓解。这些处理措施使患者得以出院。最后1例气管狭窄患者系食管癌复发，在初次置入支架管后短期内需要在近端部位再次置入支架管。我们得出结论，置入杜蒙型气管支架管可改善晚期食管癌所致气管狭窄患者的生活质量和预后。
