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目的 评价携带125I粒子支架治疗中晚期食管癌的临床价值.方法 2013年7月至2015年12月应用食管支架治疗中晚期食管癌64例,根据是否自愿接受125I粒子支架分为两组:普通支架组(A组)28例,125I粒子支架组(B组)36例.125I粒子根据治疗计划系统(TPS)和肿瘤形态适形综合布源.比较两组支架置入成功率、并发症发生率、吞咽困难改善率、支架通畅率、平均住院时间、住院费用及生存期.结果 两组支架置入成功率及短期吞咽困难缓解率均为100%;12个月内B组患者食管支架通畅率明显高于A组,差异具有统计学意义(P<0.05);平均住院时间两组差异无统计学意义(P>0.05),平均住院费用两组有显著性差异(P<0.05),B组比A组平均高约13 769.57元;平均生存期和中位生存期B组均明显长于A组,差异有统计学意义(P<0.05).结论 125I粒子支架治疗中晚期食管癌安全有效,能明显延长患者生存期,但费用较普通支架高. 相似文献
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目的探讨携带放射性~(125)Ⅰ子食管支架治疗高龄中、晚期食管癌的初步疗效。方法总结2009年9月-2010年12月新乡医学院第一附属医院食管支架治疗的43例中、晚期食管癌老年患者,根据是否自愿接受~(125)Ⅰ粒子支架分为A、B两组。A组为~(125)Ⅰ粒子支架治疗组,18例;B组为普通支架治疗对照组,25例。两组患者的年龄、病变长度、狭窄程度以及分期差异无统计学意义(患者均未做放疗及化疗)。术中、术后观察、统计并随访支架置入成功率、吞咽困难缓解率、并发症发生率及生存期。结果 A、B两组支架置入成功率均为100%,短期吞咽困难缓解率100%。A组的平均生存期为9.8个月,B组的平均生存期为4.8个月,两组间差异有统计学意义(P<0.01)。支架置入后疼痛、食管再狭窄等并发症发生率分别为27.8%及28.0%,两组间差异无统计学意义(P>0.05)。结论根据短期临床观察,125I粒子食管支架治疗中晚期食管癌能明显延长患者生存期。临床初步应用是安全、可行、有效的。治疗中、晚期食管癌放射性~(125)Ⅰ粒子支架优于传统支架。 相似文献
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韩祎哲 《航空航天医学杂志》2009,(11):13-14
目的:探讨携带125I粒子食管内照射支架治疗中、晚期食管癌的可行性、安全性及初步疗效。方法:术前、术后行血常规、出凝血时间及肝肾功能监测,根据患者病变的大小估算出125I粒子数,选择合适的覆膜食管支架,于支架外周按一定的规律固定上125I放射粒子,制成食管内照射支架。选择15例临床分级为Ⅲ~Ⅳ期食管癌患者,将食管内照射支架植入到患者食管内并进行临床随访。结果:15例患者内照射支架均释放到位,释放过程顺利,释放过程中未出现放射粒子脱落现象。支架置入后患者一般状况明显好转,血液分析指标亦未见明显变化,未出现如食管穿孔、出血等并发症,术后3个月CT复查12例病灶较术前明显缩小、2例稍缩小、1例无明显变化;15例随访6个月,均未见出现食管再狭窄或食管瘘。结论:食管内照射支架临床使用是安全、可行、有效的;短期临床观察,治疗中、晚期食管癌携带125I粒子食管内照射支架优于传统支架。 相似文献
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目的:探讨携带125I粒子食管内照射支架治疗中、晚期食管癌的可行性、安全性及初步疗效.方法:术前、术后行血常规、出凝血时间及肝肾功能监测,根据患者病变的大小估算出125I粒子数,选择合适的覆膜食管支架,于支架外周按一定的规律固定上125I放射粒子,制成食管内照射支架.选择15例临床分级为Ⅲ~Ⅳ期食管癌患者,将食管内照射支架植入到患者食管内并进行临床随访.结果:15例患者内照射支架均释放到位,释放过程顺利,释放过程中未出现放射粒子脱落现象.支架置入后患者一般状况明显好转,血液分析指标亦未见明显变化,未出现如食管穿孔、出血等并发症,术后3个月CT复查12例病灶较术前明显缩小、2例稍缩小、1例无明显变化;15例随访6个月,均未见出现食管再狭窄或食管瘘.结论:食管内照射支架临床使用是安全、可行、有效的;短期临床观察,治疗中、晚期食管癌携带125I粒子食管内照射支架优于传统支架. 相似文献
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【摘要】 目的?比较125I粒子气管支架与普通气管支架治疗食管癌所致恶性气道梗阻的有效性。方法?回顾性分析2014年1月至2018年1月食管癌所致恶性气道狭窄行支架置入的患者46例,其中接受125I粒子气管支架置入24例,接受普通气管支架置入22例。主要分析指标为总生存时间(OS),次要指标为技术成功率、气道狭窄程度、症状缓解、安全性。结果?中位随访时间155 d(全距,15~270 d)。 两组支架置入的技术成功率均为100%。支架置入后,125I粒子支架组患者的平均狭窄程度由术前3.00下降到0.95,普通支架组由术前3.13下降到0.96(两组手术前后比较,P<0.001)。两组患者术后呼吸困难症状均得到明显缓解。125I粒子支架组的患者mOS明显长于普通支架组(156 d比103 d,P=0.005)。两组的并发症发生率无显著差异(20.5%比27.3%,P=0.374)。结论?125I粒子气管支架置入治疗食管恶性气道狭窄技术可行、安全,相较于普通气管支架能延长患者总生存时间。 相似文献
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食管内照射支架治疗食管癌的临床研究 总被引:1,自引:0,他引:1
目的:评价食管内照射支架治疗中晚期食管癌的临床应用价值。方法:经口腔将捆绑式碘125内照射支架沿超硬导丝推送至病变部位释放。术后每3月复查血常规、免疫指标、胸部CT和食管钡餐摄片检查。结果:10例患者支架均释放到位,患者进食困难症状完全缓解,复查食管钡餐支架通畅,病变段未发现瘘及出血现象。血常规及免疫指标未见明显变化。所有患者全身一般状况明显好转。结论:内照射支架治疗中晚期食管癌易杀灭肿瘤细胞,控制病变,是安全、有效和可行的,有重要的临床应用价值。 相似文献
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目的探讨DSA透视下行经皮经肝125I粒子支架植入治疗恶性胆管梗阻的临床疗效。方法26例恶性胆管梗阻患者,11例接受125I粒子支架治疗,15例接受普通金属支架植入治疗(对照组),统计、比较2组患者术前、术后生化指标变化、支架通畅率及生存期。结果手术成功率100%,术后1个月患者血清胆红素、丙氨酸转氨酶及碱性磷酸酶均明显降低(P<0.05)。术后6个月、1年125I粒子支架通畅率明显优于普通支架(P<0.05)。普通支架组患者中位生存期3.8个月,平均生存期4.3个月,粒子支架组中位生存期7.1个月,平均生存期9.1个月,粒子支架组优于普通支架组(P<0.05)。2组均无严重并发症发生。结论 125I粒子支架植入治疗恶性胆管梗阻能明显提高支架通畅率,延长患者生存期。 相似文献
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血管内支架 总被引:3,自引:0,他引:3
血管内支架 (endovascular stent,ES)是用于血管再通术后支撑病变部血管的一种管状支撑物 ,是在球囊成形术的基础上发展而来的。随着 ES制作材料及工艺的改进 ,其临床应用范围也越来越广 ;由于术后 ES的狭窄 /闭塞率高 ,同时也严重制约了其临床应用。本文就 ES的类型、理化特性、ES在狭窄 /闭塞中的作用及 ES的研究进展和发展前景作一全面扼要的综述和评价。1 常用 ES类型目前临床常用 ES多由金属或合金制作而成 ,据其作用机制不同可分为三类 [1 ,8,2 1 ]。1.1 自扩式 (self- expanding)内支架 :由医用不锈钢丝加工而成“Z”形管状… 相似文献
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Hughes M Forauer AR Lindh M Cwikiel W 《Cardiovascular and interventional radiology》2006,29(2):255-259
We examined the proximal conformation of three commonly used self-expanding stents when the stents were deployed adjacent
to one another in a tubular model, simulating a “kissing” stent technique. The stent pairs were evaluated by computed tomogrphy
to determine the cross-sectional area excluded by the stents within the model. The mean areas associated with each stent pair
were compared and significance evaluated by a t-test. A statistically significant difference was found when the area excluded by adjacent Wallstents was compared with both
the Luminexx and SMART stents (p < 0.001 and p < 0.002, respectively). The difference in the area excluded and differences in conformation might play a role in the lower
patencies that have been observed in “kissing” stent series.
This work was presented at the Society of Interventional Radiology Annual Scientific Meeting, March 2004, Phoenix AZ. 相似文献
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《Journal of vascular and interventional radiology : JVIR》2022,33(6):640-647
PurposeTo evaluate the safety and efficacy of covered stents for treatment of visceral artery aneurysms (VAA).MethodsThis multicenter retrospective study included patients with VAAs who were treated with covered stents between January 2015 and December 2020. A total of 65 patients (mean age, 58 years; range, 27–89 years) with 70 VAAs (60 true aneurysms [86%], 10 pseudoaneurysms [14%]) were included. Of the 65, 48 patients (74%) were asymptomatic. Patient demographics, endovascular treatments, and follow-up results were analyzed.ResultsAll patients received covered stents. The mean diameter was 2.9 cm (range, 1.0–7.6 cm) for symptomatic aneurysms and 2.5 cm (range, 1.0–9.0 cm) for asymptomatic aneurysms. Of the asymptomatic aneurysms, 89% had a saccular shape. The mean distance between the ostium of the artery in which the aneurysm occurred and the aneurysm was 3.9 cm (median, 3.0 cm; range, 0.5–10 cm). Additional coil embolization was used in 7 aneurysms (10%). During the procedure, 68 (97%) aneurysms were completely excluded, while 2 (3%) had a Type Ib endoleak. After a mean follow-up of 20 months (range, 1–75 months), all patients were asymptomatic. Four endoleaks were recorded and left for close observation. Four stents (7%) had mild restenosis, while the rest of the stents were patent.ConclusionsPlacement of covered stents in patients with VAAs excluded aneurysms and maintained artery patency. 相似文献
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The treatment of intracranial atherosclerotic stenoses, which account for 10-15% of all ischemic strokes, is technically feasible for few years by the use of new flexible stent devices. Especially patients who fail best medical treatment have a poor prognosis and stenting becomes a reasonable treatment option. Herein we discuss treatment concepts and the principles of stent placement against the background of epidemiology and pathophysiologic basics. 相似文献