摘要
目的：观察食管腔内电极电化学治疗食管癌和贲门癌术后吻合口狭窄的效果。方法：应用特制的管式食管电极，采用电化学疗法治疗食管癌或贲门癌切除术后并发吻合口狭窄３１例，其中颈部吻合者３例、主动脉弓上者１１例、弓下者例１７例。吻合口宽度平均为０２８ｃｍ，仅能进全流食或不能进食水。依进食改善情况，酌情给予１次～４次治疗。结果：本组治疗后１９例（６１３％）患者可进普食或较固体食，９例（２９０％）进半流食，吻合口平均直径增加到１０ｍｍ。疗效维持＞０５ａ者为８０％，部分患者复发后再行电化学治疗，仍取得良好的效果。本组病例除少数在治疗中有短暂的胸骨后不适感外，无严重并发症发生。结论：本方法是一种简便、易行、安全的疗法，可明显改善患者的进食梗阻，提高患者的生存质量。
Objective:To observe the clinical efficacy of electrochemical therapy(ECT)with esophageal electrode for postoperative anastomotic stenosis of esophageal and cardiac carcinoma.Methods:An esophageal intracavitary ECT guided by endoscopy or X ray was performed in 31 cases of anastomotic stenosis.Results:A good result was observed.914% of the patients were only able to take liquid or with complete dysphagia before ECT,where as 903% could have semifluid,most solid and normal foods after the procedure.The average diameter of anastomotic stenosis were increased from 028 cm to 10 cm after treatment. ECT can be used both in postoperative anastomotic stenosis and in malignant dysphagia.Conclusion:ECT is an effective, safe and simple method to relieve the postoperative dysphagia.
出处
《中日友好医院学报》
1998年第1期45-48,共4页
Journal of China-Japan Friendship Hospital
关键词
食管肿瘤
电化学疗法
食管电极
吻合口狭窄
esophagus
esophageal neoplasms
electrochemical therapy
esophageal electrode
