内镜下射频结合食道支架治疗食管恶性梗阻的临床分析

Value and application of comprehensive treatment of esophageal carcinoma combined with malignant obstruction under endoscopy

目的:探索经内镜射频、扩张结合食道支架治疗食管恶性梗阻的临床应用价值。方法:在内镜直视下,运用射频电极、扩张器和食道支架对食道癌术后复发病灶和晚期食道癌所致管腔狭窄进行治疗。25例食道恶性梗阻内镜不能通过患者,其中18例患者经过1次射频治疗后胃镜顺利通过狭窄口,后再行食道支架置入;7例患者经过2次射频治疗后食道管腔变宽但胃镜仍不能通过,予扩张后行食道支架置入。结果:25例患者随访1-12个月,无严重并发症,所有患者经治疗后营养迅速恢复,停止静脉补液。结论:经内镜下射频、扩张结合食道支架置入术是食道恶性梗阻较理想的姑息治疗方法,且设备价廉,操作简单,安全性高,易于推广应用。

Objective： To investigate the clinical effect of dilation and radiofrequency combined with esophageal stent on treating esophageal carcinoma combined with malignant obstruction, nethods：A total of 25 esophageal carci- noma patients with lost surgical opportunity or recurrence after excision were treated with radiofrequency ablation and endoscopy dilation. Furthermore,some patients received stent implantation under endoscopy, 18 cases with one time radiofrequency treatment received stent implantation,7 cases with two times radiofrequency treatment received stent implantation with pre - expansion. The therapeutic effect was observed and analyzed. Results：by follow - up of 1 - 12 months, all cases had no serious complications and lead rapid improvements in nutrition stopping intravenous fluid in- fusion after comprehensive treatment. Conclusion：The comprehensive therapy under endoscopy is a safe, convenient, effective and palliative method with cheap equipment for treating esophageal carcinoma. Furthermore, They can im- prove nutrition status, enhance life quality and extend survival period.