摘要
目的探讨经皮内镜下胃肠造口术(PEG/J)联合带膜食管金属内支架置入术,在晚期癌性食管梗阻及食管气管瘘患者中姑息治疗的有效性。方法对17例晚期食管癌患者进行PEG/J联合食管内支架置入术治疗,其中食管及食管贲门结合部梗阻12例,癌性食管气管瘘5例。随访观察其疗效。结果手术成功率100%,操作时间平均(25±10)min,术后无严重并发症发生。术后2～5d,口服碘油造影显示所有患者梗阻解除、瘘口封闭。术后3～7d,均可以口服流质或半流质饮食,所有患者均摆脱了肠外营养支持。结论PEG/J联合食管支架治疗晚期食管癌操作简便、安全、有效,显著改善晚期癌性食管梗阻及食管气管瘘患者的生活质量。
Objective To investigate the palliative treatment of esophageal malignant obstruction and tracheo-esophageal fistula in order to improve patient s life quality, nutritional statues and prolong the survival time. Methods From April 2003 to November 2004, percutaneous endoscopic gastrostomy / jeju-nostomy ( PEG/J) combined with self-expanding metal stent ( SEMS) were performed in 17 patients suffering from esophageal malignant obstruction (n = 12) and tracheoesophageal fistula (n =5). SEMS indicated for relie...
出处
《中华消化内镜杂志》
2005年第3期161-163,共3页
Chinese Journal of Digestive Endoscopy
关键词
经皮内镜下胃肠造口
食管金属内支架
食管气管瘘
食管癌
Percutaneous endoscopic gastrosmoty
percutaneous endoscopic jejunostomy
Self-expanding metal stent
Tracheoesophageal fistula
Esophageal cancer
