射频结合经皮内镜胃造瘘术治疗食管恶性梗阻(附19例报告)  

Radio frequency therapy followed by percutaneous endoscopic gastrostomy for patients with esophagus malignant obstruction(A report of 19 cases)

作　　者：方碧艳[1] 黄斌[1] 吉学军[1] 

机构地区：[1]中国人民解放军第四一三医院,浙江舟山316000

出　　处：《中国内镜杂志》2008年第1期41-43,共3页China Journal of Endoscopy

摘　　要：目的探讨经内镜射频结合经皮内镜胃造瘘术(PEG)治疗食管恶性梗阻的临床应用价值。方法19例食管恶性梗阻内镜不能通过患者,其中2例食管癌患者经过2次射频治疗后内镜方能通过,其余均在1次治疗后内镜顺利通过。经射频治疗后行PEG胃肠营养。结果手术成功率100%。所有患者经治疗后营养迅速恢复,停止静脉补液。19例患者随访1～12个月无严重并发症发生。结论经内镜射频结合PEG是晚期食管贲门癌患者较好的保守治疗手段。[Objective] To Investigate the clinical value of radio frenquency therapy followed by percutaneous endoscopic gastrostomy （PEG） for patients with esophagus malignant obstruction. [Methods] We treated 19 patients with PEG after having radio frequency therapy from Jun 2000 to Dec 2005. All the patients had malignant obstruc- tion of esophagus. 2 patients had to have radio frequency therapy for twice before then the endoscopy could pass the esophagus, others just for one time. [Result] No pati.ent failed. All the patients recovered successfully after radio frequency therapy and PEG. No severe complications were found during 1-12 months follow-up. [Conclusions] Radio frenquency therapy and PEG are good conservative treatments for the patients who have carcinoma of esophagus or cardiac cancer in advanced stage.

关 键 词：食管恶性梗阻 内镜 射频 胃造瘘 

分 类 号：R735.1[医药卫生—肿瘤]