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支架植入术在颈段食管恶性狭窄患者中的应用现状与进展鲁海涛;茅爱武【摘要】食管支架植入术既能解决即刻食管恶性梗阻的问题,还能为后续治疗作准备.自膨式金属支架自20世纪80年代问世以来逐渐成为解除腔道梗阻的重要手段.支架植入术因具有操作简单、创伤小、疗效明显、并发症少而越益广泛地应用于临床.但目前对于颈段食管恶性狭窄进行支架的植入仍看法不一.现就这一领域问题作一综述.%Esophageal stent implantation can not only immediately solve the problem of malignant esophageal obstruction, but also make beneficial preparation for the follow - up treatment. Since the self -expanding metallic stents came out in 1980s, the stent implantation has become an important means to relieve the digestive tract obstruction. Because stent implantation is technically - simple, minimally - invasive, clinically effective with fewer complications, it has been widely used in clinical practice. However, there are still many controversies over the stent implantation for malignant stricture of cervical esophagus so far. This paper aims to make a review about the problems in this field.【期刊名称】《介入放射学杂志》【年(卷),期】2012(021)011【总页数】3页(P966-968)【关键词】支架;颈段食管;恶性狭窄【作者】鲁海涛;茅爱武【作者单位】200233 上海交通大学附属第六人民医院介入影像科;上海长宁区同仁医院介入科【正文语种】中文【中图分类】R573.71 食管恶性癌治疗现状食管恶性狭窄主要见于食管癌性狭窄、肿瘤复发、纵隔肿瘤压迫或侵犯食管等[1]，其中食管癌导致的恶性狭窄占绝大部分。
新型分段食管支架在治疗食管恶性梗阻中的临床应用张丽云;贡桔;夏宁;王忠敏【摘要】目的：评估新型分段食管支架置入治疗食管恶性梗阻的临床疗效。
方法：24例食管恶性梗阻患者，行新型分段食管支架置入，记录支架放置成功率、术后吞咽困难分级及生活质量改善（Kamofsky评分）、并发症情况。
结果：24例患者均成功置入支架，术中、术后无支架相关的严重并发症。
支架置入后患者吞咽困难明显改善，其中显效18例，好转5例，无改善1例。
吞咽困难缓解率为95.8%（23/24）。
术后2周患者吞咽困难分级较术前明显好转（t=15.91，P<0.0001），Kamofsky评分也有所改善。
随访期间未发生支架移位。
结论：新型分段食管支架置入治疗食管恶性狭窄安全、有效、不易移位。
%Objective: The aim of this study was to investigate the clinical efficacy of new stent for malignant esophageal obstruction. Method: We analysed the clinical dataof 24 cases with malignant esophageal obstruction who were implanted with new stent. The postoperative efifcacy observations including the success rate of stent implantation, swalow condition and complications after surgery.Results: Al 24 patients were treated successfuly with new stents,no complications related with stents occurred aftersurgery.Swalowing conditions were improved after surgery,there were 18 patients with obvious improvement,5 patients with beter improvement,1 patient had no improvement.Remission rate of swalowing conditions was 95.8%(23/24).Two weeks after surgery,Stooler of swallowing conditions obviously improved(t=15.91,P<0.0001),Kamofsky scores also improved. There were no stents migration during folow up.Conclusion: Theapplication of new stents for malignant esophageal obstruction issafe ,effective and not easily migrate.【期刊名称】《中国医疗器械信息》【年(卷),期】2016(022)021【总页数】4页(P13-16)【关键词】食管;恶性梗阻;支架【作者】张丽云;贡桔;夏宁;王忠敏【作者单位】上海交通大学医学院附属瑞金医院卢湾分院放射介入科上海200020;上海交通大学医学院附属瑞金医院卢湾分院放射介入科上海 200020;上海交通大学医学院附属瑞金医院卢湾分院放射介入科上海 200020;上海交通大学医学院附属瑞金医院放射介入科上海 200025【正文语种】中文【中图分类】R318食管癌是临床上常见的恶性肿瘤之一，晚期患者食管多发生狭窄及梗阻，表现为进食困难或不能进食，不仅严重影响患者的生活质量，且易加速其死亡。
