摘要
１９９１年３月到１９９２年４月应用电化学疗法（ｅｌｅｃｔｒｏ－ｃｈｅｍｉｃａｌｔｈｅｒａｐｙ，ＥＣＴ）治疗有明显梗阻的食管癌病人２４８例和食管癌切除后吻合口狭窄病人３６例。全组病例均经食管钡餐造影、食管镜检查和部分ＣＴ扫描确诊。应用ＥＣＴ疗法是消除梗阻，使病人能进食，有效地改善营养状态，然后再根据具体需要辅以其它综合治疗，达到提高疗效的目的。２４８例食管癌梗阻的有效率为６７．７％（１６８／２４８），３６例吻合口狭窄的有效率为８８．９％（３２／３６），两组平均有效率为７０．４％（２００／２８４）。
Aim:To review the experience of electrochemical therapy for malignant esophageal stricture and anastomotic stenosis following esophagectomy.Clinical material and method:From March 1991 to April 1992,total 284 patients were treated with electrochemical therapy.Of whom,248 patients had malignant esophageal stricture and 36 patients had anastomotic stenosis after esophagectomy for cardiac cancer.The criteria for electrochemical therapy were as follows:unresectable tumor,elder patients,poor general condition and poor nutrition status.The clinical types of lesion included conctrictive type in 131 patients,medullary type in 80 and mushroom type in 37.The tumor originated from the upper third of the esophagus in 53,from the middle third in 165 and from the lower third in 66. Result:Overall effective rate of electrochemical therapy was 70.4% (200/284).The effective rates for malignant esophageal stricture and anastomotic stenosis were 67.7% (168/248) and 88.9% (32/36),respectively.The ineffective rate was 29.6% (84/284).Conclusion:Electrochemical therapy is an effective and safe method for patients with late stage of esophageal cancer or postoperative complication.It could improve the quality of life for those patients.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1998年第1期14-17,共4页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
食管肿瘤
食管吻合口狭窄
电化学治疗
Electrochemical therapy Malignant esophageal stricture Anastomotic stenosis
