支架成形术结合动脉灌注化疗、放疗治疗晚期食管癌

Esophageal Stent Combined Arterial Infusing Chemotherapy and Radiation Therapy for Treatment of Advanced Esophageal Carcinoma

目的探讨食管支架成形术结合动脉灌注化疗、放疗治疗晚期食管癌的疗效。方法56例晚期食管癌患者,在X线监视下,经口腔置入食道覆膜支架。支架成形术后7例患者单纯行动脉灌注化疗;13例患者单纯放疗;36例患者动脉灌注化疗术加放疗。结果所有患者支架置入均获成功,支架置入后吞咽困难症状得到不同程度缓解。在晚期食管癌的治疗中;支架置入术后同时结合动脉灌注化疗、放疗效果优于支架置入后单纯动脉灌注化疗或单纯放疗。结论支架成形术治疗晚期食管癌简单有效,支架成形术结合动脉灌注化疗、放疗可以延长患者的生存时间。

Objective To explore the therapeutic value of esophageal stent combined arterial infusing chemotherapy and/or radiation therapy for the treatment of advanced esophageal carcinoma. Methods All patients (56 cases) were treated by means of peroral intubation of the stent under fluoroscopic guidence. Seven cases were treated by radiation therapy, and 13 cases were treated by arterial infusing chemotherapy. Another 36 cases were treated by combination of arterial infusing chemotherapy and radiation therapy. Results The stent placement was successful. Symptoms of dysphagia were relieved in all cases. Stent placement combined arterial infusing chemotherapy and radiation therapy at the same time were more effective for the treatment of advanced esophageal carcinoma. Conclusion Stent placement is simple and effective in the treatment for advanced esophageal carcinoma. Stent placement combined arterial infusing chemotherapy and/or radiation therapy can prolong the patient's survival.