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目的为提高食管狭窄病人的生存质量，延长生存期。方法采用全程内镜直视下扩张置管术治疗狭窄18例。结果晚期食管癌、贲门癌9例，合并食管-气管瘘4例；食管、贲门癌术后6例；食管痛放疗后狭窄2例；喉癌术后喉瘘1例，均置管成功。5例合并瘘管的病人置管后即刻达到阻瘘目的。术后发生支架移位1例；食物嵌顿1例。吞咽困难均得到明显改善。结论全程内镜下扩张置管术较X线下置管术具有操作简便，置管准确，扩张效果好的优势。
The purpose is to improve the quality of life of patients with esophageal stenosis and prolong their survival. Methods A total of 18 cases of stenosis were treated with endoscopic dilation under direct vision. The results of advanced esophageal cancer, cardiac cancer in 9 cases, combined esophageal fistula 4 cases; esophageal, cardiac cancer after surgery in 6 cases; esophageal pain after radiotherapy in 2 cases; laryngeal cancer after laryngeal fistula in 1 case, were successfully placed. In 5 patients with fistulas, the obstruction was achieved immediately after catheterization. One case of stent dislocation occurred after surgery and 1 case of food incarceration. Difficulty in swallowing was significantly improved. [Conclusion] Endoscopic dilatation and endoscopic catheterization is superior to X-ray catheterization in that it has the advantages of simple operation, accurate catheterization, and good expansion effect.