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目的:探讨食管放疗支架治疗晚期食管癌、晚期食管贲门癌及食管贲门癌术后食管狭窄的疗效。方法:对15例晚期食管癌(、期),6例食管癌手术后复发吻合口狭窄患者采用125I覆膜的食管放疗支架,置入方法在影像引导下与普通支架置入相同。结果:食管放疗支架成功率100%,所有病例近期疗效显著,除部分患者疼痛外均无发生严重并发症。21例患者无1例死亡。结论:食管放疗支架不但明显改善吞咽困难,而且对肿瘤进行近距离腔内适形放疗,可以明显延长患者的生存时间。食管放疗支架置入是治疗中晚期食管癌的有效手段。
Objective: To investigate the efficacy of esophageal stent in the treatment of advanced esophageal cancer, advanced esophageal cardia cancer and esophageal and cardiac cancer esophageal stricture. Methods: Fifteen patients with esophageal cancer esophageal cancer (stage) and six esophageal cancer patients with recurrent esophageal stricture were treated with 125I-coated esophageal radiotherapy stent. The method of placement was the same as that of ordinary stents under imaging guidance. Results: The successful rate of esophageal stent was 100%. The curative effect was significant in all cases. No serious complications were found except for some patients with pain. None of the 21 patients died. Conclusion: The esophageal stent not only can obviously improve the dysphagia, but also can shorten the survival time of patients by condylar radiotherapy at short distance. Esophageal stent implantation is an effective treatment of advanced esophageal cancer.