摘要
目的观察食管支架置入术结合三维适形放疗(3DCRT)对治疗中晚期食管癌中的应用价值。方法前期利用食管支架置入术解决中晚期食管癌的病变部位狭窄程度,后期针对原发病实施3DCRT治疗。根据WHO对实体瘤的近期疗效评价标准和吞咽困难Stooler分级进行疗效评价。结果观察的30例患者中CR20%,PR80%,有效率为100%。患者体质有明显改善,无严重并发症。结论利用食管支架置入术结合3DCRT对治疗中晚期食管癌,效果明显,可以作为临床上治疗中晚期食管癌的一种手段。
Objective To evaluate the applicability of combined esophageal stent inserting and three- dimensional cordormal radiotherapy (3DCRT) in the treatment of medium - term and late esophageal carcinoma. Methods Firstly, we solved the esophageal stenosis with stent inserting then we applied 3DCRT. According to the evaluating standards of WHO and Stooler classification, we evaluated the efficacy. Results 20% of the 20 cases observed partially remitted(PR),and 80% completely remitted(CR). The effective rate was 100%. Furthermore, the patients' constitution was obvious improved with no serious complications. Conclusion The effect of combined stanting and 3DCRT in the treatment of medium- term and late esophageal carcinoma is obvious, and it can be a method to remedy medium- term and late esophageal carcinoma.
出处
《中国煤炭工业医学杂志》
2008年第2期149-151,共3页
Chinese Journal of Coal Industry Medicine
关键词
食管癌
支架
三维适形放射治疗
esophageal carcinoma
stent
three- dimensional conformal radiotherapy