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目的对高位食管癌食菅支架置入的临床疗效进行观察,并对支架置入方法进行探讨。方法25例高位食管癌患者,初期的8例采用普通国产置入器置入;后期的17例,对置入器械进行了改良。结果3例支架置入后出现明显的吞咽疼痛,另22例仅有局部轻度疼痛不适和异物感,一周后逐渐减轻和消失,术后吞咽困难明显缓解。结论高位食管癌支架置入要注意以下几个问题:1.支架上端不应超过C7椎体平面;2.支架应质地柔软,最好选择上端怀口状或球头式支架,3.支架的口径以不超过15mm为宜,要注意对气管的压迫;4.改良的置入装置有助于求中随时调整支架位置,使定位更准确。
Objective To investigate the clinical effect of esophageal cancer esophageal cancer stent implantation and discuss the method of stent placement. Methods Twenty-five patients with advanced esophageal cancer were enrolled. The initial eight patients were treated with ordinary domestic placement device. In the latter period, 17 patients were treated with esophagectomy. Results In 3 cases, obvious swallowing pain was found after stent implantation. The other 22 cases only had local mild pain discomfort and foreign body sensation. After one week, they gradually lightened and disappeared, and the dysphagia relief was obvious after operation. Conclusion High esophageal cancer stent placement should pay attention to the following questions: 1. The stent should not exceed the top of C7 vertebral plane; 2. The stent should be soft texture, the best choice of the upper mouth or ball-type stent, 3. stent Caliber of not more than 15mm is appropriate, pay attention to the oppression of the trachea; 4. Improved placement device helps to find the position at any time to adjust the bracket, so that more accurate positioning.