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老年性晚期食管癌引起完全或不完全性梗阻的病例,是进一步治疗的难题.尤其是老年患者放疗中或放疗后形成食管狭窄,使放疗不能继续进行.而各种原因引起的食管瘘、食管溃疡等,临床死亡率甚高.近年来,我们对食管狭窄以及食管瘘等老年食管癌晚期患者作带膜食管支架放置,使其缓解梗阻症状,改善患者体质,从而达到延长患者生存期的目的,现将治疗23例报告如下:1 临床资料1.1 一般资料:23例中,男16例,女7例.年龄61～86岁,平均68.4岁.均为晚期食管癌引起食管不完全性或完全性梗阻病人.其中术后吻合口周围复发造成梗阻6例,食管癌放疗中或放疗后食管梗阻8例,食管气管瘘或食管纵隔瘘7例,食管溃疡2例.病变范围3cm～9cm.部位:位于食管上段及中上
The case of complete or incomplete obstruction caused by advanced esophageal cancer is a difficult problem for further treatment. Especially in elder patients who develop esophageal stricture during radiotherapy or after radiotherapy, radiotherapy cannot be continued. Various causes of esophageal fistula and esophagus Such as ulcers, clinical mortality is very high. In recent years, we esophageal stenosis and esophageal spasm and other advanced esophageal cancer patients with membrane esophageal stent placement, so that relieve obstructive symptoms, improve patient physique, so as to achieve the purpose of prolonging the survival of patients , 23 cases of treatment are reported as follows: 1 Clinical data 1.1 General information: 23 cases, 16 males and 7 females, aged 61 to 86 years, mean 68.4 years old. All patients with advanced esophageal cancer caused incomplete or complete esophageal Patients with obstruction. Among them, 6 cases were obstruction caused by recurrence of anastomosis after operation, 8 cases of esophageal obstruction during radiotherapy of esophageal cancer or radiotherapy, 7 cases of esophageal fistula or esophageal mediastinal fistula, and 2 cases of esophageal ulcer. The lesion range was 3cm to 9cm. : Located in the upper and middle esophagus