金属食管支架置入结合放疗治疗食管癌性狭窄的临床应用研究  

Clinical Applied Study on Metal Stent and Radiotherapy for Carcinomatous Stricture of Esophagus

作　　者：蔡志春[1] 曲风声[2] 张新毅[3] 周建房 赵娜[1] 

机构地区：[1]山东省职业卫生与职业病防治研究院,山东济南250002 [2]山东省立医院 [3]山东省交通医院

出　　处：《中国辐射卫生》2006年第2期146-148,共3页Chinese Journal of Radiological Health

摘　　要：目的探讨X射线下国产食管支架置入的技术、方法、带“架”放疗的可行性以及两者结合治疗食道癌性狭窄的临床应用价值。方法总结X射线下放置的较完整的158例病人的临床X射线资料,着重分析其中86例带“架”病人进行常规分割照射放疗的可行性及疗效。结果158例病人放置食管支架162个,除一例严重狭窄导丝难以插入不能放置外,其余均一次成功。所有病人支架置入后吞咽困难立即缓解,特别是结合放疗病人,生活质量明显提高,生存期延长,无一例出现大出血及穿孔等并发症。结论国产食管支架X射线下放置安全,疗效快捷;带“架”不影响病人放疗;两者结合可明显提高疗效。此方法应成为晚期食道癌性狭窄病人首选的治疗手段。Objective To explore the method of domestic-made esophageal stent implantation undex X-ray, the possibility and value of radiotherapy with stent for carcinomatous strieture of esophagus. Methods The datas of 158 patients with esophageal stent implantation und X-ray were summarized. The possibility and effective of conventional divide irradiation with esophageal stent were analyzed emphatiely in 86 patients. Results 162 esophageal stents were implanted successfully in 158 patients except one failure for esophageal stenosis severely. Dysphugia was relieved immediately after the esophageal stent implantation. Binding with radiotherapy especially, the quality of life was improved obviously and the survival period was prolonged. Complication sueh as hernorrheues and perforation were not seen among all the patjents. Conclusion The method of domestic-made esophageal stent implantation under X-ray is safely, and the effective. It would be more effective ff with esophageal stent. Esophageal stent implantation and radiotherapy bare become the first ehoiee of treatment for carcinomatous strieture of esophageal in its late slage.

关 键 词：食管癌性狭窄 金属支架 放射治疗 

分 类 号：R816[医药卫生—放射医学] R735[医药卫生—临床医学]