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目的 :探讨介入后装 1 92 Tr近距离放射治疗晚期食管癌性狭窄的治疗方法。方法 :对 33例失去手术指征的晚期食管癌性狭窄患者在 X线监视下放置钛镍网状记忆合金支架 ,并后装 1 92 Tr近距离放射治疗及中医药扶正祛邪联合方法进行治疗。结果 :经过 1～ 43个月的随访观察 ,33例患者梗阻完全解除 ,有效率 10 0 % ,疗效稳定期平均 12个月 ,患者生存时间平均 18个月。结论 :联合治疗方法简便、安全 ,疗程短 ,副反应少 ,可显著提高患者的生存时间 ,延缓患者生命。
Objective : To investigate the treatment of advanced esophageal cancer stenosis with brachytherapy after interventional intervention. METHODS: Thirty-three patients with advanced esophageal cancer stenosis who had lost surgical indications were placed under a X-ray monitor with a titanium-nickel mesh-like memory alloy stent and treated with a combination of 192 Tr brachytherapy and Chinese medicine. . Results: After 1 to 43 months of follow-up observation, 33 patients were completely relieved of obstruction with an effective rate of 10%. The stable period of curative effect was 12 months. The average survival time of patients was 18 months. Conclusion: The combination therapy is simple, safe, short course of treatment, fewer side effects, can significantly improve the patient’s survival time, delay the patient’s life.