细直径食管支架治疗食管癌放疗后狭窄-内科学专业毕业论文.pdfVIP

细直径食管支架治疗食管癌放疗后狭窄 摘 要 目的：探讨12mm直径的食管支架治疗食管癌放疗后狭窄的疗效和并发症 的发生情况。 方法：62例食管癌放疗后狭窄患者随机分为A组（32例）和B组（30例）， 分别置入12mm直径和16mm直径CZES型食管支架治疗，术后随访半年，比较两 组疗效和并发症的发生情况。 结果：两组进食均得到明显改善，两组之间差异无统计学意义（P>0.05）。 A组患者支架置入后胸痛发生率和疼痛程度明显低于B组（P<0.01）,两组患者 术后支架阻塞与再狭窄、支架移位与脱落、大出血、穿孔等并发症的发生率差异 无统计学意义（P>0.05）。 结论：12mm直径食管支架治疗食管癌放疗后狭窄疗效好，疼痛并发症轻。 关键词：食管支架；食管癌放疗后狭窄；支架;直径 1 Treatmentofmalignantesophagealobstructionafter Treatmentofmalignantesophagealobstructionafter TTrreeaattmmeennttooffmmaalliiggnnaanntteessoopphhaaggeeaalloobbssttrruuccttiioonnaafftteerr Radiotherapywithsmallcliberesophagealstent Radiotherapywithsmallcliberesophagealstent RRaaddiiootthheerraappyywwiitthhssmmaallllcclliibbeerreessoopphhaaggeeaallsstteenntt Abstract Abstract AAbbssttrraacctt Objective Objective OObbjjeeccttiivvee: To comment on the efficacy and complication of 12mm esophageal stentinpatients withmalignantesophageal strictureafterradiotherapy. Method Method MMeetthhoodd: 62 patients with malignant esophageal stricture after radiotherapy were divided into A group(32 examples) and B group(30 examples) randomly,12mm and 16mm stents were implanted in patients of A group and B grope, comparing the efficacyandcomplicationoftwogropes. Result Result RReessuulltt: There are no significant differences in efficacy between two groups, however, the probability and grade of ache in A group are obviously lower than B group. Conclusion Conclusion CCoonncclluussiioonn: To treat the patients with malignant esophageal stricture after radiotherapy with 12mm stent, the efficacy is to be good, the ache complication is light. Key words Key words KKe