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目的:明确一种新型食管支架治疗狭窄和抗胃食管反流的作用。方法:17例(男16例,女1例)有梗阻症状的食管、贲门恶性肿瘤患者,在安装防反流型支架后,分别观察症状及体征,监测24小时食管pH(8例),并行食管内镜检查(9例)及胃肠X线检查(3例),以观察狭窄通畅情况及有无胃食管反流迹象。结果:置入支架后食管、胃、贲门通畅,无一例有胃食管反流存在。结论:此类新型支架有良好的抗胃食管反流作用。
Objective: To clarify the role of a novel esophageal stent in the treatment of stenosis and gastroesophageal reflux. Methods: 17 patients (16 males and 1 female) with esophageal and cardiac cancers who had obstructive symptoms were followed up with anti-reflux stents. Symptoms and signs were observed, and 24-hour esophageal pH was monitored (8 cases). Endoscopic examination (9 cases) and gastrointestinal X-ray examination (3 cases) were performed to observe the stenotic patency and signs of gastroesophageal reflux. Results: The esophagus, stomach and fontanelle were unobstructed after stenting, and there was no case of gastroesophageal reflux. Conclusion: This new stent has good anti-gastric esophageal reflux effect.