未经治疗的食管癌穿孔带膜支架置入姑息放射治疗的体会  

Experience of placing palliative radiotherapy in the exophageal carcinoma covered esophageal stent system without any treatment

作　　者：魏洁[1] 丁仁平[1] 

机构地区：[1]安徽省滁州市肿瘤医院放射治疗科,安徽滁州239001

出　　处：《河北医学》2002年第10期870-871,共2页Hebei Medicine

摘　　要：目的 :探讨未经治疗的食管癌穿孔予带膜内支架管置入后放射治疗的效果和意义。方法 :回顾性分析 1998年 4月至 2 0 0 1年 4月 6例未经治疗的食管癌穿孔患者 ,予带膜内支架管置入后 ,Co - 6 0外照射 ,每次剂量DT1.7- 1.8Gy ,总剂量DT5 0 - 6 0Gy。结果 :死亡的 4例患者中位生存期 11月 ,最长达 17月。现存 2例 ,生存期均大于 14月。患者生存期大部分时间内饮食基本正常 ,生活可自理。结论 :对于未经治疗的食管癌穿孔的晚期肿瘤患者予带膜内支架酌入 +适当减少分割剂量常规分割姑息放疗 ,疗效较满意。Objective:To explore the effects and meanings of radiotherapy to the patients,who suffer from esophageal carcinoma perforation,and are then placed with Covered Esophageal Stent System. Methods: A retrospective ananysis:in the six cases of the patients who suffered from exophageal carcinoma during April 1998 to April 2001,these patients were then placed with Covered Esophageal Stent System,plus with the radiation of Co-60.The usual amount each time is DT1.7-1.8 Gy and the total amount is DT50-60Gy.Results: Of the four cases,though they are dead,the patients survived as long as 11 months.Of the present 2 cases,the survival period is over 14 months,during which the patients can have the basic normal food and drink and take care of themselves in the daily life.Conclusions: If the patients who suffer from esophageal carcinoma perforation are placed with Covered Esophageal Stent System,plus with proper decreased fractionation amount of radiotherapy,a satisfactory result can be achieved.

关 键 词：食管癌 穿孔 带膜支架置入 姑息放射治疗 

分 类 号：R735.1[医药卫生—肿瘤] R730.[医药卫生—临床医学]