摘要
目的:观察食管覆膜支架置入术联合球囊扩张术在中晚期食管癌患者中的应用效果。方法:选取120例中晚期食管癌患者作为研究对象,以随机数字表法将其分为球囊组、覆膜支架组和联合组各40例。球囊组行球囊扩张术治疗,覆膜支架组行食管覆膜支架置入术治疗,联合组行食管覆膜支架置入术联合球囊扩张术治疗,比较三组扩张成功率、再狭窄率、并发症发生率和生命质量[健康调查简表(SF-36)]评分。结果:联合组和覆膜支架组的扩张成功率均高于球囊组,再狭窄率均低于球囊组,差异有统计学意义(P<0.05);联合组术后并发症发生率低于球囊组和覆膜支架组,SF-36评分高于球囊组和覆膜支架组,差异均有统计学意义(P<0.05)。结论:食管覆膜支架置入术联合球囊扩张术治疗中晚期食管癌患者可提高生命质量评分,降低术后并发症发生率,效果优于单纯食管覆膜支架置入术或球囊扩张术治疗。
Objective:To observe application effects of membrane-covered esophageal stent implantation combined with balloon dilatation in patients with middle-advanced esophageal cancer.Methods:120 patients with middle-advanced esophageal cancer were selected as the research objects,and were divided into combination group,balloon group and membrane-covered stent group by using the random number table method,40 cases in each group.The balloon group was treated with balloon dilatation,the membrane-covered stent group was treated with membrane-covered esophageal stent implantation,while the combination group was treated with membrane-covered esophageal stent implantation combined with balloon dilatation.The expansion success rate,the restenosis rate,the complication rate and the quality of life[short form health survey(SF-36)]score were compared among the three groups.Results:The expansion success rates of the combination group and the membrane-covered stent group were higher than that of the balloon group;the restenosis rates were lower than that of the balloon group;and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the combined group was lower than that of the balloon group and the membrane-covered stent group;the SF-36 score was higher than that of the balloon group and the membrane-covered stent group;and the differences were statistically significant(P<0.05).Conclusions:Membrane-covered esophageal stent implantation combined with balloon dilatation in the treatment of the patients with middle-advanced esophageal cancer can improve the quality of life score and reduce the incidence of postoperative complications.Moreover,it is superior to simple membrane-covered esophageal stent implantation or balloon dilatation.
作者
赵旭
ZHAO Xu(Department of Thoracic Surgery of the Second Hospital of Chaoyang,Chaoyang 122000 Liaoning,China)
出处
《中国民康医学》
2021年第22期18-20,共3页
Medical Journal of Chinese People’s Health
关键词
中晚期食管癌
食管覆膜支架置入术
球囊扩张术
扩张成功率
再狭窄率
生命质量
术后并发症
Middle-advanced esophageal cancer
Membrane-covered esophageal stent implantation
Balloon dilatation
Expansion success rate
Restenosis rate
Quality of life
Postoperative complication
作者简介
赵旭(1987.08-),男,汉族,辽宁朝阳人,本科,主治医师,研究方向为胸部肿瘤。
