论文部分内容阅读
我院自1988年起在内镜下应用Nd:YAG激光器治疗上消化道癌46例,取得了较好的近期效果,现报告如下。临床资料男34例,女12例。10例为晚期梗阻性食管癌,36例为食管或贲门癌术后复发。46例患者均有明显的进食困难。10例能缓慢进半流食,29例仅能进流食,7例饮水亦困难。全部病例钡餐透视均示食管或吻合口狭窄。内镜下见食管腔或吻合口明显狭窄,并有结节样隆起,狭窄口直径4～5mm 20例,3mm以下26例,其中3例管腔几乎完全被癌组织堵塞。46例病人均未接受过联合化疗。
In our hospital, the use of Nd:YAG lasers for the treatment of 46 cases of upper gastrointestinal cancer has been performed since 1988 and has achieved good near-term results. The report is as follows. Clinical data were 34 males and 12 females. Ten patients had advanced obstructive esophageal cancer and 36 patients had recurrence of esophageal or cardiac cancer. All 46 patients had significant difficulties in eating. In 10 cases, it was possible to enter semi-liquid food slowly. In 29 cases, only liquid food was available. In 7 cases, drinking water was also difficult. Barium meal in all cases showed esophageal or anastomotic stenosis. Under the endoscope, the esophageal cavity or anastomosis was obviously narrowed, with nodular uplift. The diameter of the narrow mouth was 4 to 5mm in 20 cases, and 26 cases were below 3mm, of which 3 cases were almost completely blocked by the cancer tissue. None of the 46 patients received combination chemotherapy.