多枚食管支架在晚期食管癌患者中的应用效果分析

目的探讨多枚食管支架在晚期食管癌患者治疗中的应用效果。方法选取2008年5月至2011年4月在秦皇岛市第二医院治疗的64例晚期食管癌患者为研究对象,用随机数字表法随机分为两组观察组(32例),采用多枚食管内支架治疗;对照组(32例)采用内镜下Savary Gillard扩张器扩张,分析两组患者的吞咽功能改善及并发症情况。结果观察组治疗后吞咽功能的优良率达90.6%,并发症的发生率为15.7%,对照组治疗后吞咽功能的优良率达53.2%,并发症的发生率为37.5%,观察组明显优于对照组,差异有统计学意义(P<0.05)。结论晚期食管癌患者采用多枚食管支架治疗,能够有效缓解吞咽困难,减少并发症,从而提高患者的生活质量。

Clinical Efficacy Analysis of Multiple Esophageal Stents Treatment for Advanced Esophageal Carcinoma

Objective To discuss the clinical effects of multiple esophageal stents for the treatment of advanced esophageal carcinoma.Methods From May 2008 to April 2011,64 patients with advanced esophageal carcinoma were selected as objects from Qinghuangdao City Second Hospital.They were divided into observation group and control group with random number table method.Observation group(endoscopic Savary Gillard dilator group,n=32) and control group(treatment without stent group,n=32).Swallowing function improvement and complications of patients were analyzed.Results In treatment group,the excellent rate of swallowing function was 90.6%,the incidence of complications was 15.7%.In control group,the excellent rate of swallowing function was 53.2% and the incidence of complications was 37.5%.The treatment group was significantly better than the control group with statistically significant difference(P<0.05).Conclusion According to the conditions of patients,multiple esophageal stents as the treatment of advanced esophageal carcinoma can alleviate the patient′s swallowing difficulty effectively,reduce the complications and improve the quality of life for patients.