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DSA定位下支架植入治疗晚期食管癌的疗效观察
引用本文:黄万里,李劲,黄书立.DSA定位下支架植入治疗晚期食管癌的疗效观察[J].中国医药指南,2011,9(18):42-44.
作者姓名:黄万里  李劲  黄书立
作者单位:1. 广东省阳江市人民医院介人科,广东,阳江,529500
2. 广东省阳江市人民医院肿瘤科,广东,阳江,529500
摘    要:目的探讨DSA定位下食管支架植入术的临床疗效。方法 56例晚期食管癌患者在DSA定位下行食管支架植入术,观察支架植入情况,评判支架植入后患者的吞咽困难程度,随访观察食管癌患者的存活率。结果 56例患者共植入支架67枚,54例放置位置准确无误,1次植入成功率为96.4%。患者吞咽症状明显缓解或消失,术后当天即可进流质饮食,吞咽困难分级,Ⅰ级36例,Ⅱ级20例。支架植入有效率为100%。术后患者胸骨后疼痛26例(46.4%);出血14例(25%);发热8例(14.3%);胃食管反流4例(7.1%);支架移位2例(3.6%,向上移位);再狭窄2例(3.6%)。经2~36个月的随访,7例患者仍存活。结论 DSA定位下食管支架植入术操作简便、创伤小、一次植入成功率高,术后患者可经口进食,生存质量得到了改善。

关 键 词:DSA  食管癌  食管内支架植入术

Efficacy of the Treatment of Advanced Esophageal Cancer Patients with Positioning Stent Implantation Under the DSA
HUANG Wan-li,LI Jin,HUANG Shu-li.Efficacy of the Treatment of Advanced Esophageal Cancer Patients with Positioning Stent Implantation Under the DSA[J].Guide of China Medicine,2011,9(18):42-44.
Authors:HUANG Wan-li  LI Jin  HUANG Shu-li
Institution:1(1?Department of Invasive Technology,Yangjiang People’s Hospital,Yangjiang 529500,China; 2?Department of Oncology,Yangjiang People’s Hospital,Yangjiang 529500,Chin)
Abstract:Objective To evaluate the clinical effect of esophageal stenting with DSA positioning.Methods 56 patients with advanced esophageal cancer treated by esophageal stenting with DSA positioning.To observe the situation of stent implantation,judge the degree of dysphagia after stent implantation in patients,followed up the survival rate of patients with esophageal cancer.Results 56 patients were implanted stents 67,51 cases of placement accuracy,a second implant success rate was 96.4%.Swallowing symptoms were re...
Keywords:DSA
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