目的探讨在鼻胃镜直视下释放食道支架的可行性及安全性。方法对38例食道良恶性狭窄的患者,在鼻胃镜监视下放置带膜镍钛合金支架,术后食道泛影葡胺造影检查,评价支架位置是否准确。结果 38例患者均一次放置成功,无出血,穿孔等严重并发症。结论食道狭窄的患者,利用鼻胃镜监视下释放食道支架具有定位准确,安全快捷,简便易行,患者痛苦小的优点。 Objective To explore the feasibility and safety of esophageal stent under nasal endoscopy. Methods Thirty-eight patients with benign and malignant esophageal strictures were enrolled in this study. Nasal gastroscope was used to place a nitinol stent. Postoperative esophageal diastolic angiography was performed to evaluate the accuracy of stent placement. Results All the 38 patients were successfully placed without serious bleeding, perforation and other serious complications. Conclusions In patients with esophageal stricture, the use of nasal endoscopy to release the esophageal stent has the advantages of accurate positioning, safe and quick, simple and easy operation and little patient suffering.