食管支架置入失败后再植入技术探讨.pdf

文档介绍：· ·
2012;32(10) 南方医科大学学报(J South Med Univ) 1525
临床研究
食管支架置入失败后再植入技术探讨
陈群清,童健,张福伟,梁广行,吴源周,李少彬,闫玉生
南方医科大学珠江医院心胸外科,广东广州 510282
摘要:目的通过分析食管支架置入失败的原因,探讨支架再置入的技术改良和置入效果。方法根据支架置入失败的不同病情
特点,选择更适当的食管支架类型,采用改良的置入技术,对32例次患者进行食管支架再次置入术,观察置入效果并随访。结
%,有效解决了食管狭窄和食管瘘的问题;在半年随访期内,出现支架移位4例,%,出现
再置入支架上缘食管瘘2例,%,未见支架脱落、大出血、狭窄等情况。结论改良的食管支架再置入技术可有效解
决支架置入失败后的再置入难题,同时解决相关的食管疾病,减少食管支架置入并发症的发生。
关键词:支架;再置入;食管癌;食管瘘;食管狭窄;吻合口漏
中图分类号: 文献标志码:A 文章编号:1673-4254(2012)10-1525-03
doi: .1673- s/detail/
Investigation of the technique of esophageal stent re-implantation
CHEN Qunqing, TONG Jian, ZHANG Fuwei, LIANG Guangxing, WU Yuanzhou, LI Shaobin, YAN Yusheng
Department of Cardiothoracic Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
Abstract: Objective To analyze the causes of failure of esophageal stent implantation and explore technical improvement of
re-implantation of esophageal stent (RIES). Methods According to the conditions of the failed stent implantation, 32 patients
who required RIES underwent placement of more appropriate esophageal stents with an improved implantation technique.
The patients were followed up for 6 months after the operation to evaluate the effects of RIES. Results The ess rate of the
operation was % in these cases, and t