[1]朱光宇,滕皋军,郭金和,等.支架端改型防治食管支架术后的临床应用[J].介入放射学杂志,2011,(06):440.
　ZHU Guang-yu,TENG Gao-jun,GUO Jin-he,et al.Clinical application of mouth-retrofitted stent in prevention of esophageal restenosis after esophageal stent implantation[J].journal interventional radiology,2011,(06):440.
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支架端改型防治食管支架术后的临床应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2011年06期
页码:
440
栏目:
非血管介入
出版日期:
2011-06-30

文章信息/Info

Title:

Clinical application of mouth-retrofitted stent in prevention of esophageal restenosis after esophageal stent implantation

作者:
朱光宇;  滕皋军;  郭金和;  何仕诚;  邓 钢;  方 文;  李国昭
210009  南京 东南大学医学院附属中大医院放射科
Author(s):
ZHU Guang-yu;  TENG Gao-jun;  GUO Jin-he;  HE Shi-cheng;  DENG Gang;  FANG Wen;  LI Guo-zhao.
Department of Radiology, Zhongda Hospital, Southeast University, Nanjing 210009, China
关键词:
食管癌;  支架;  放射学;  介入性
分类号:
Ｒ５７１；Ｒ７３５.１
文献标志码:
A
摘要:
目的 观察支架端改型对食管支架术后再狭窄的防治作用及其安全性。 方法 １０例经病理及影像学确诊的食管癌患者，用支架端增加硅胶膜的改型支架进行治疗。术后每月随访吞咽困难程度Ｓｔｏｏｌｅｒ分级评分、胸部Ｘ线片、ＣＴ和食管钡餐，了解支架的位置及有无梗阻；每２个月行胃镜检查以了解支架有无狭窄，随访有无严重胸痛、出血、肺炎、食管气管瘘等相关并发症。 结果 １０例患者随访 ４ ～ １０个月，９例随访期间吞咽困难程度Ｓｔｏｏｌｅｒ分级评分均为０ ～ １级，１例吞咽困难程度逐步加重，随访至５个月其程度分级增至３级。术后９例未见支架移位，１例携带１２５Ｉ粒子支架患者随访至８个月时发现支架脱落至胃内，食管钡餐及胃镜检查示原狭窄段管腔内壁较光滑，未见狭窄。１例逐步出现吞咽困难患者的胸部ＣＴ扫描提示病变超过支架上缘，食管造影及胃镜证实为肿瘤增生造成再狭窄；其余８例病变长度未见明显增加，食管钡餐及胃镜均未见支架端口狭窄及梗阻征象，其中４例释放未携带１２５Ｉ粒子支架的病变厚度有增加，４例释放携带１２５Ｉ粒子支架的病变厚度较术前变薄。所有患者术后均出现轻度胸痛及咽部不适，经对症处理后均逐步缓解，未出现并发症。 结论 端口改型支架对食管支架植入术后再狭窄有一定的预防作用且是安全的。

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备注/Memo

备注/Memo:
收稿日期：２０１１０３０３
更新日期/Last Update: 2011-06-30