关键词：食管癌；介入放射学；支架；放射治疗
摘要 目的：研究高度狭窄的晚期食管癌，金属被覆 内支架术后的放射治疗。方法：21例呈程度不同恶病 质状态的晚期食管癌，狭窄均在2mm以下，其中7例呈 梗阻状，4例伴食管瘘。共置放22个镍钛合金被覆内 支架，2周后行外照射，DT60～70Gy。结果：支架全部顺 利置放成功，2周后均能进普食，并顺利接受根治性 放射治疗，未出现白细胞降低等并发症。于放疗后 随访复查：9个月7例，12个月9例，15个月5例。支架原 位，其上下界未出现狭窄，管腔通畅，患者进食顺 利，体重增加。结论：高度狭窄的晚期食管癌内支 架术后，经放射治疗，可取得满意的近期疗效。
Radiotherapy of Patients with Late Stage Esophageal Carcinoma after Stent Inserted
Feng Chongyuan
(Dezhou Tumour Hospital, Dezhou)
Abstract Objective: To evaluate the therapeutic effect of radiotherapy of late stage esoophageal cancer after stent placement. Methods: Twenty- one cases of advanced esophageal cancer with lumen stenosis less than 2mm in diameter. Seven of them had complete obstruction and 4 with fistula. Twenty- two nitinol stents were inserted to the site of stenosis and then radiotherapy of Co60 (DT 60～ 70Gy) was given two weeks later. Results: The postradiotherapy follow- up at 9 months in 7 cases, 12 months 9 cases and 15 months 5 cases showed that all the patients could take full diet two weeks after stent placement. No narrowing recurrence occurred and the patients gained weight following uneventful taking food. Conclusion: The stent placement with radiotherapy is helptul in the treatment of late stage esophageal cancer and a short- term good result can be achieved
Key Words Esophageal carcinoma Intervening radiotherapy Stent
食管癌引起吞咽困难已属晚期 ......
您现在查看是摘要页，全文长 7996 字符。