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内镜Nd:YAG激光治疗食管和贲门早期浅表癌远期疗效评价
引用本文:杨观瑞,王玉梅,赵立群,李珊珊,贾建红. 内镜Nd:YAG激光治疗食管和贲门早期浅表癌远期疗效评价[J]. 中华消化内镜杂志, 1994, 0(2)
作者姓名:杨观瑞  王玉梅  赵立群  李珊珊  贾建红
作者单位:河南省医学科学研究所,河南省新乡市中心医院
摘    要:应用内镜Nd:YAG激光治疗33例食管和贲门早期浅表癌。经1~6次(平均2.6次)激光照射,32例(97%)癌细胞消失。其中22例已随访24~55个月,16例(72.7%)无癌复发;另外6例(27.3%)於治愈后第36~40个月又发现早期癌灶,可能是早期癌复发或再发的早期癌。认为内镜Nd:YAG激光治疗食管和贲门早期浅表癌的远期疗效还相当满意。本文对内镜Nd:YAG激光治疗的适应证、影响疗效的因素和减少治疗后癌复发的措施进行了分析。

关 键 词:食管,贲门,早期癌,激光,疗效

LONG-TERM EFFICACY OF ENDOSCOPIC Nd: YAG LASER THERAPY FOR EARLY SUPERFICIAL CARCINOMA OF THE ESOPHAGUS AND THE GASTRIC CARDIA
Yang Guan-rui,et al. LONG-TERM EFFICACY OF ENDOSCOPIC Nd: YAG LASER THERAPY FOR EARLY SUPERFICIAL CARCINOMA OF THE ESOPHAGUS AND THE GASTRIC CARDIA[J]. Chinese Journal of Digestive Endoscopy, 1994, 0(2)
Authors:Yang Guan-rui  et al
Affiliation:Henan Institute of Medical Sciences
Abstract:A group of 33 patients,27 with early superficial esophageal cancer and 6 with early superficial carcinoma of the gastric cardia,were treated by endoscopic Nd:YAG laser therapy.32(97%)were cured with the disappearance of the cancer cells.They were treated 1-6times(average 2.6)with laser irradiation.22 patients were followed-up for 24-55 months.A negative biopsy was recorded in 16(72.7%)of the 22 patients;the other 6 cases(27.3%)were found to have recurrent early cancer during the follow-up period from the 36th to the 40th months.In this paper,we evaluated the long-term effectiveness and the indication of endoscopic laser therapy,and discussed the prognostic factors and the measures to reduce the recurrence of cancer.
Keywords:Esophagus  gastric cardia  early cancer  laser  effectiveness  
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