一项关于自膨式金属覆膜支架缓解恶性吞咽困难的前瞻性试验。
A prospective trial of self-expanding metal coated stents in the palliation of malignant dysphagia.
作者信息
De Castro M L, Fernández-Seara J, Pato M, Pascual P, Pereira J, Domínguez L
机构信息
Service of Digestive Diseases, Santa María Nai-Dr. Cabaleiro Complejo Hospitalario, Orense, Spain.
出版信息
Rev Esp Enferm Dig. 1998 Aug;90(8):573-9.
OBJECTIVE
To analyze the use of self-expanding metal coated esophageal stents a palliative therapy of malignant dysphagia.
METHOD
We performed a one year prospective study placing 12 stents in 10 patients with malignant dysphagia.
RESULTS
The insertion mean time was lower than 25 min, and most of our patients (70%) reported a good tolerance. Dysphagia score improved immediately and it lasted until death with no occlusions. Complications appeared early, 17% at the time of placement, with one patient having a life-threatening complication. The probability for these patients not to develop any complications after the three first weeks will be about 60%.
CONCLUSIONS
Self-expanding metal coated esophageal stents provide a fast and lasting relief in malignant dysphagia, with a good tolerance.
目的
分析自膨式金属覆膜食管支架在恶性吞咽困难姑息治疗中的应用。
方法
我们进行了一项为期一年的前瞻性研究，为10例恶性吞咽困难患者置入12枚支架。
结果
置入平均时间低于25分钟，大多数患者（70%）耐受性良好。吞咽困难评分立即改善，直至死亡一直保持，且无堵塞情况。并发症出现较早，置入时为17%，有1例患者出现危及生命的并发症。这些患者在最初三周后不发生任何并发症的概率约为60%。
结论
自膨式金属覆膜食管支架能快速、持久地缓解恶性吞咽困难，耐受性良好。
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