摘要
目的评价内镜下放置覆膜食管支架治疗晚期食管癌癌性梗阻的临床疗效。方法选择晚期食管癌癌性梗阻218例为治疗组,同期放弃内镜介入治疗的晚期食管癌癌性梗阻30例为未治疗组,在内镜介导下对治疗组癌性狭窄放置覆膜支架。术后随访观察支架置入成功率、梗阻改善状况及生存期。结果治疗组112例支架成功植入,成功率为97.25%。治疗组6月、12月和18月的累积生存率分别为97%、88.5%、68%,未治疗组6月、12月和18月的累积生存率分别为51%、33.7%和21.4%。结论内镜下放置覆膜支架是治疗晚期食管癌理想的方法之一,能最大程度地解决癌性梗阻,提高患者的生存质量。
Objective To evaluate the clinical curative effect of implantation tectorial stent to treat the carcinous obstruction of advanced esophageal carcinoma. Methods Two hundred and eighteen cases of advanced esophageal carcinoma patients were selected as treatment group, thirty cases of advanced esophageal carcinoma patients of giving up treating under endoscope were selected as control. The rectorial stents were implanted in treatment group. After operation the achievement rates, the improvement condition of obstruction and survival rate of two groups were observed. Results The achievement rate of the treatment group rectorial stents implanted was 97.25%. The accumulative survival rates of 6, 12 and 18 month of treatment group were 97% , 88.5% and 68% , respectively, but that of the control group were 51% , 33.7% and 21.4% , respectively. Conclusion treatment methods for advanced esophageal carcinoma tion and improve the life quality of patients. Tectorial stent implantation is suggested to be one of the effective under gestroscope. Consequently,it can solve carcinous obstruction and improve the life quality of patients.
出处
《胃肠病学和肝病学杂志》
CAS
2008年第5期372-374,共3页
Chinese Journal of Gastroenterology and Hepatology
关键词
内镜
覆膜支架
晚期食管癌
癌性梗阻
Endoscope
Tectorial stent
Advanced esophageal carcinoma
Carcinous obstruction
