覆膜支架置入和／或放疗治疗中晚期食管癌的对比研究  

Comparison of treating advanced esophageal carcinoma by stents insertion and/or radiotherapy

作　　者：于永江[1] 范荣[1] 刘穗媛[1] 张勇[1] 梁偲偲[1] 向阳[1] 

机构地区：[1]山东省荣成市人民医院,264300

出　　处：《中国实用医刊》2009年第17期23-25,共3页Chinese Journal of Practical Medicine

摘　　要：目的比较内镜下带膜金属支架置入术、放射治疗、支架置入术后联合放疗治疗中晚期食管癌的疗效。方法回顾性分析我院自2000年1月至2005年1月间行内镜下带膜金属支架置入术18例、放射治疗32例、支架置入术后联合放疗16例，比较单纯支架治疗、放射治疗和支架联合放疗病人的生存率、临床症状缓解率及并发症发生率。结果①支架组与联合组在吞咽困难症状缓解及并发症发生率方面比较差异无统计学意义（P〉0．05），单纯放疗吞咽困难缓解率低，但无重要并发症；②放疗组与联合放疗组生存率相同，明显优于支架组。结论中晚期食管癌非手术治疗方法中，内窥镜下带膜金属支架置入术、单纯放疗和支架置入术后联合放疗均是切实可行的治疗方法，但应该结合实际情况，优化选择其治疗方法。Objective To evaluate the clinical effects of covered metal stent implantation, radiotherapy combination of metal stenting and radiotherapy for malignant esophagus carcinoma. Methods Eighteen cases covered metal stent implantation,32 cases by radiotherapy, 16 cases combination of metal stenting and radiotherapy for malignant esophagus carcinoma were analyzed retrospectively in our hospital from January 2001 to January 2005. Comparison was made by assessing their survival rate,clinicsymptom relaxed rate and complication rate. Results There was no statis- tically significant improvement in dysphagia and complication rate between the group of stenting alone and the group of combination . In the group of radiotherapy alone, degree of dysphagia was no significant improvement, but there was no difference complication. There was same survival rate between the group of radiotherapy alone and combination with radiotherapy, but significant outbalanced with the group of stenting alone. Conclusions They are all safe and efficient method in the non - operation treatment of medium - term and late esophageal carcinoma, but we should combine with the practicality ,optimized the treatment.

关 键 词：食管癌 支架 置入 放射治疗 

分 类 号：R735.1[医药卫生—肿瘤] R734.205[医药卫生—临床医学]