上消化道恶性肿瘤术后吻合口狭窄的内支架治疗效果  

Curative effect of stent for the treatment of postoperative anastomotic stenosis of upper digestive tract malignant tumors

作　　者：李海渊[1] 张玉芳[1] 檀立慧[1] 刘彬[1] 张龙[1] 

机构地区：[1]秦皇岛市第二医院医学影像诊断科介入室,河北秦皇岛066600

出　　处：《现代肿瘤医学》2013年第4期819-821,共3页Journal of Modern Oncology

基　　金：秦皇岛市科学技术研究与发展指导计划第三批(编号:2007-58-84)

摘　　要：目的:分析上消化道恶性肿瘤术后吻合口狭窄内支架治疗效果。方法:选取2005年8月-2010年12月份于我院进行治疗的上消化道恶性肿瘤术后出现吻合口狭窄的患者73例为研究对象,随机分为两组,一组为实验组(X线下内支架治疗组)37例,一组为对照组(球囊扩张治疗组)36例,比较两组患者近期总有效率、远期复发率、扩张并发症的发生率。结果:实验组近期总有效率为100.0%,明显高于对照组;并发症发生率为10.8%、远期复发率为13.5%,明显低于对照组。以上差异P均<0.05,差异显著。结论:内支架治疗上消化道恶性肿瘤术后吻合口狭窄能够显著提高治疗的近期总有效率,同时能够降低远期复发率及扩张并发症的发生率,疗效确切。Objective： To analyze the curative effect of stent for the treatment of postoperative anastomotic stenosis of upper digestive tract malignant tumors. Methods：From August 2005 to December 2010,73 patients with postoperative anastomotic stenosis of upper digestive tract malignant tumors were selected as objects in our hospital. They were divided into experimental group （ stent treatment under X - ray group, n = 37 ） and control group （ balloon dilation group, n = 36 ）. The total efficiency, long - term recurrence rate and incidence of expansion complications were compared. Results：In experimental group, the recent total efficiency rate was 100.0% ,it was significantly higher than the control group. The incidence of complications was 10.8% and long - term recurrence rate was 13.5% significantly lower than the control group, P 〈 0.05. Conclusion： Stent for the treatment of postoperative anastomotic stenosis of upper digestive tract malignant tumors can improve the recent total efficiency rate and with lower long - term recurrence rate and incidence of expansion complications.

关 键 词：上消化道恶性肿瘤 术后吻合口狭窄 内支架治疗 

分 类 号：R735[医药卫生—肿瘤]