Memory alloy stent endoscopic treatment of advanced clinical care of malignant esophageal stenosis.doc

 PAGE \* MERGEFORMAT 6 Memory alloy stent endoscopic treatment of advanced clinical care of malignant esophageal stenosis Of: Chen Lixin, Xiehua Li, Chen Lizzy [Abstract] Objective To improve the quality of life of patients with advanced esophageal cancer and extend survival time. Methods 36 patients with advanced esophageal cancer patients made self-expanding metal placed esophageal stents. Results 36 patients with esophageal stricture after stent implantation a good opening, swallowing difficulties improved significantly. esophageal stent and the corresponding conclusions of perioperative care of patients with advanced esophageal cancer can improve anastomotic stenosis, or the quality of life. [Keywords:] esophageal cancer; stent; Care Recently our hospital, 36 patients with advanced esophageal cancer patients the placement of domestic self-expanding metal esophageal stent, through careful nursing, so that patients smoothly through the entire surgical process, are as follows. 1 Clinical data 36 cases of esophageal cancer patients, 29 males and 7 females, aged 46 to 83 years, mean 64.5 years. 90% of lesions in the esophagus, the lower section of the lesion length of 3 ~ 11cm, an average of 6.2cm. Of which 12 cases of malignant stricture , anastomotic stenosis in 22 cases, esophageal, tracheal fistula in 2 cases. 2 Care 2.1 Preoperative Care 2.1.1 The psychological care of patients before surgery to explain a stent to the purpose, operation, possible discomfort, with the intraoperative and postoperative precautions psychologically prepared to eliminate fear and anxiety in patients, with active treatment. 2.1.2 for routine gastroscopy in patients with barium radiography or check to see the site of stenosis, length, degree of bronchial fistula without esophageal; check blood type, clotting time, platelet count, prothrombin time, do an EKG. 2.1.3 equipment prepared to select the appropriate length of illness in patients with stents