内镜及X线下支架置入治疗食管贲门癌狭窄和瘘
PUBLIC MEDICAL FORUM MAGAZINE(2004)
Abstract
目的探索更为准确、简便、安全的内镜下置放食管内支架的方法.方法常规食管扩张解除狭窄后在狭窄的上下端注射泛影葡胺0.5~1 ml,然后在X线下定位,选择支架长度,置入内支架.结果63例中,62例一次成功,1例贲门癌患者发生支架移位脱落;吞咽困难分级由术前3.2级下降到0.85级,无严重并发症发生.结论该方法具有定位直观准确、影响因素少、操作简便、不增加病人痛苦、并发症少等优点.
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