Esophageal Stent Kuiswa - Diki Stent Inotsigira "Hupenyu Channel

Mushure mekuvhiyiwa, ini pakupedzisira ndava kukwanisa kudya zvakanaka. Ndinokutendai zvikuru kune vanachiremba uye vanamukoti vechikwata chaDirector Xu. Munguva ichangopfuura, muwadhi yevarwere vegastroenterology, murwere, achiperekedzwa nemhuri yavo, akanga achibudiswa muchipatara. Murwere akataura kuonga kuvashandi vezvokurapa.

Zvinonzwisisika kuti VaShi vanga vachinetseka nekudya mumwedzi ichangopfuura uye zvishoma nezvishoma zvakawedzera. Mwedzi mumwe chete gare gare, akatanga dambudziko rekumedza, uye parizvino ari kunetseka kuwana mvura nekudya. Murwere akaongororwa pachifuva CT scan kuchipatara cheko uye akawana "kuruboshwe runyoro uye kukora kwepakati nepakati esophageal madziro". Gastroscopy yakaratidza "kutetepa kuri pachena kwe lumen anenge 30cm kubva kune incisor mazino, uye muviri haugone kupfuura. Biopsy pathology inoratidza esophageal squamous cell carcinoma". Nekuda kwekunetseka kwemurwere pakudya, kuonda, uye kuderera zvishoma nezvishoma kwemamiriro ese, chipatara cheko chinopa zano rekutamisirwa kuchipatara chepamusoro-soro kunorapwa.

Mushure mekubvunzana kwakawanda, VaShi, vachiperekedzwa nemhuri yavo, vakashanyira Dhipatimendi reGastroenterology paHenan Chest Hospital. Director weGastroenterology, Xu Gang, akatungamira chiremba aivepo Hua Wei kuti aongorore marekodhi ekurapa ndokuona kuti murwere akatambura ne "Tetralogy of Fallot" kubva paudiki, aine huremu hwe34kg chete uye BMI ye12.0kg/㎡. Munguva pfupi yapfuura, kurasikirwa kwekurema kwakapfuura 20%, zvichiratidza cachexia state; Chest plain CT scan yakaratidza kuwedzera kwechipiri kwechikamu chepamusoro chesophageal nekuda kwe stenosis mumurwere (Mufananidzo 1), uye yakaoma stenosis yepakati esophageal lumen inokonzerwa nesophageal space occupation (Mufananidzo 2).

Mufananidzo 1 Upper Esophageal Stenosis Dilation

Mufananidzo 2 Esophageal space inobata stenosis

Mushure mekuongorora kwakadzama kwemamiriro emurwere, zvakaonekwa kuti esophagus uye hilum yemapapu zvakagarwa, uye cardiopulmonary function yaive yakashata zvakanyanya. Murwere akarasikirwa nemukana wekuvhiyiwa, uye maererano nemafungiro edhipatimendi reanesthesia, murwere iye zvino haakwanisi kuita gastroscopy pasi peanesthesia yakawanda. Vakatarisana nemamiriro emurwere uye zvishuwo zvenhengo dzemhuri yavo, boka raDirector Xu Gang rakasarudza kuita "sedative uye analgesic gastroscopy ongororo" kumurwere, pamwe ne "esophageal stent placement operation" kuti ibvise esophageal stenosis uye kudzorera kudya kwemukanwa. Nekubatana kweDirector Xu Gang uye chiremba anopinda Hua Wei kubva kuDhipatimendi reGastroenterology, pamwe naMukoti Zhang Liping naMukoti Zhang Chen kubva kuEndoscopic Diagnosis uye Kurapa Dhipatimendi, esophageal stent yakaiswa zvakabudirira musophagus uye yakaonekwa isina kuvharika pasi peiyo. microscope (Mufananidzo 3 uye Mufananidzo 4). Murwere akatangazve kudya kwavo masikati iwayo. Mushure mekudya, zviratidzo zvekurutsa nekudzipwa zvakaderedzwa zvakanyanya, uye chimiro chavo chepfungwa chakavandudzika zvakanyanya. Vakabudirira kugadzirisa dambudziko guru re "kunetseka kudya" uye vakavhura "nzira yehupenyu", Hupenyu hwehupenyu hwakavandudzwa, uye varwere nemhuri dzavo vakaratidza kunyemwerera kunogutsa.

Mufananidzo 3 Maonero ezasi ekushanda gastroscopy

(Mufananidzo 3A: Zvipenyu zvitsva zvisingawanzoitiki zvinoonekwa, zvinotungamirira ku luminal stenosis, uye chirwere chinoratidza esophageal squamous cell carcinoma;

Mufananidzo 3B: Kuiswa kwesophageal stent, isina kuvharika mukati mesophageal stent)

Mufananidzo 4 Kuvhiya maitiro e endoscopic esophageal stent kuiswa