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本文就我院1999年以来,采用内镜下置入金属支架治疗食管、贲门狭窄26例,取得的效果报告如下。1 临床资料1.1 一般资料 本组共26例中,未行任何治疗的食管癌7例、贲门癌4例、食管癌术后复发6例、食管癌放疗后狭窄9例;吞咽困难按STOOL分级法,Ⅱ级6例、Ⅲ级13例、Ⅳ级7例;食管狭窄长度2-4cm 15例、6-9cm 8例、大于9cm 3例;内镜下食管狭窄直径<0.15cm 15例、0.15-0.30cm 4例,0.31-0.50cm 3例、其中狭窄段上缘距门齿距离小于20cm 4例。1.2 设备及方法 纤维(电子)胃镜系统、条状树脂扩张器、支架输送器、镍钛记忆合金支架(内径18mm)长度根据需要选择、电视显示系统。常规行X线钡餐摄片,术前用药,肌肉注射杜
In this article, since 1999 in our hospital, endoscopic treatment of esophageal and cardiac stenosis has been performed using metal stents under endoscope. 1 Clinical data 1.1 General information In this group of 26 cases, 7 cases had no treatment for esophageal cancer, 4 cases with cardiac cancer, 6 cases with recurrence of esophageal cancer, and 9 cases with esophageal cancer after radiotherapy. Dysphagia was classified by STOOL. Grade II, Grade 6 in 13 cases, Grade IV in 7 cases; Esophageal stenosis length 2-4cm 15 cases, 6-9cm 8 cases, greater than 9cm 3 cases; Endoscopic esophageal stricture diameter <0.15cm 15 cases, 0.15- There were 4 cases (0.30cm) and 3 cases (0.31-0.50cm), of which 4 cases were less than 20cm from the upper edge of the narrow segment. 1.2 Equipment and Methods The fiber (electronic) gastroscope system, strip resin expanders, stent transporters, and NiTi memory alloy stents (internal diameter 18mm) were selected according to the needs, TV display system. Routine X-ray barium meal, preoperative medication, intramuscular injection