高龄患者食管癌的治疗

目的探索高龄患者食管癌手术治疗与食管支架治疗的疗效,寻找最佳治疗方案,提高治疗质量。方法对1995年9月～2002年11月收治的60例高龄食管癌患者进行回顾性分析。结果治愈20例,好转36例,死亡4例。手术治疗42例,支架治疗18例。结论食管支架治疗的短期疗效比手术治疗好,但远期疗效差。手术治疗仍是高龄食管癌的首选治疗方式。对于失去手术机会或不愿意手术治疗的患者以及术后食管再狭窄和出现食管胸膜瘘的患者进行食管支架置入,是提高患者生活质量的有效手段。

Treatment of elder patients with esophagus cancer

Objective To investigate the effective treatments in elder patients with esophagus cancer. Method The retrospective analysis was preformed in 60 elder cases with esophagus cancer from September 1995 to November 2002. 42 cases were treated by surgical operation,18 cases were treated by the esophageal stent. Results 20 cure, 36 take a favorable turn and 4 died. Conclusion The short-term curative effect of stent is better than that of operation, but worse in the long-term curative effect. The surgical operation is the first treatment way for the elder patients with esophagus cancer. The stent placement (SP) is suitable for the patients without indication of surgery or esophagus stenosis as well as esophagus pleural fistula after operation, which is a valid procedure to increases the quality of life.