支架成形术结合动脉灌注化疗、放疗治疗晚期食管癌

　 来源：120online    　 日期：2007-05-07

　　【摘要】　目的：探讨食管支架成形术结合动脉灌注化疗、放疗治疗晚期食管癌的疗效。方法：46例晚期食管癌患者，于X线监视下，经口腔置入食道支架。支架置入术后18例患者单纯行动脉灌注化疗；15例患者单纯放疗；13例患者动脉灌注化疗术后结合放疗。结果：所有患者支架置入均获成功，支架置入后吞咽困难症状得到不同程度缓解。在晚期食管癌的治疗中，支架置入术后同时结合动脉灌注化疗、放疗效果优于支架置入后单纯动脉灌注化疗或单纯放疗。结论：支架置入术治疗晚期食管癌简单有效，支架置入术后结合动脉灌注化疗/放疗可以延长患者的生存时间。

　　中图分类号：R735.1；R730；　　　　文献标识码：B

　　文章编号：1009-4571(2000)01-0055-02

Esophageal stent combine arterial infusing chemotheraphy and radiation theraphy for treatment of advanced esophageal carcinoma

SONG Jin-long　LI Yu-liang　TANG Jun　et al

　　（Shandong Medical Imagine Research Institute,Jinan 250021）

　　【Abstract】　Objective:To explore the therapeutic value of esophageal stent combined arterial infusing chemotherapy and/or radiation therapy for the treatment of advanced esophaeal carcinoma.Methods:all patients(46 cases) were treated by means of peroral intubation of the stent under fluoroscopic guidence.18 cases were treated by arterial infusing chemotherapy post stent insertion.Another 13 cases were treated by combination arterial infusing chemotherapy and radiation therapy.Results:All stent placement is successful.Symptoms of dysphagia were relieved in all cases.Stent placement combined arterial infusing chemotherapy and radiation therapy is more effective than post stent placement for the treatment of advanced esophageal carcinoma.Conclusions:Sfent placement is simple and effective in the treatment for advanced esopageal carcinoma.Stent placement combined arterial infusing chemotherapy and/or radiation therapy can prolong the patient's life.

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