advanced esophageal cancer stent implantation complications and their prevention（晚期食管癌支架植入术并发症及其预防）.docVIP

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advanced esophageal cancer stent implantation complications and their prevention（晚期食管癌支架植入术并发症及其预防）.doc

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advanced esophageal cancer stent implantation complications and their prevention（晚期食管癌支架植入术并发症及其预防）

Advanced esophageal cancer stent implantation complications and their prevention Of: Xia Shuxiang Ho peak Zhousu Ping Xia Yan Endoscopic implantation of a memory alloy of nickel-titanium alloy stent for treatment of advanced esophageal stenosis, because of its positioning accuracy, easy operation, and after surgery can be quickly and to maximize ease swallowing difficulties, to improve the general condition and quality of life, as a more ideal means of palliative care was recognized by the majority of medical workers. With the wide range of clinical applications, its complications are more and more attention in our hospital since 2004 application esophageal stent in the treatment of advanced esophageal cancer 38 cases followed up for 3 - 20 months, the recent results were satisfactory. report is summarized as follows: Materials and methods Clinical data: 38 cases, 30 males, 8 females, age 45-78 years, mean age 62 years, the whole group of cases were diagnosed by endoscopy and pathology, pathological diagnosis, differentiation of scales carcinoma of the main disease mostly invasive foci or radiotherapy after narrow to be expansion by 35 cases, 3 cases of stenosis was not obvious, but accompanied by esophageal fistula. eight cases can not swallow the liquid, can not swallow semi-liquid food cases, you can not swallow solid food 2 cases of fistula diameter of 0.3-1.2cm, oval or cleft-like, multi-located in the esophagus, the next paragraph. (2) Methods: Before surgery to routinely insert the positioning of the X-ray, endoscopic introduction of the expansion of the dilator guidewire through the stenosis to 12-14mm, stent placement under direct vision along the guide wire and accurate positioning of stenosis , using Savary dilators, different specifications of the nitinol stent was purchased from Changzhou, Jiangsu Intelligence Medical Instrument Research Institute. disposable catheter success rate is 100% complete 10-30mm. Result (1) narrow e