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11例晚期食管贲门癌伴有梗阻性吞咽困难患者,其中腺癌9例,鳞癌2例。平均狭窄长度为5.27cm(1～10cm),<5cm者6例,5～10cm者5例。在内镜检查前静注安定和杜冷丁或环丁甲羟氢吗啡。对不完全性梗阻者先用12或18mm的扩张器扩张,以利于内镜通过狭窄部。应用治疗静脉曲张的注射针经内镜活检孔将针插入肿瘤深部,注入无水乙醇0.5 ml或1 ml,以注射部位的肿瘤组织出现苍白色为宜,如未呈苍白色,但
Eleven cases of advanced esophageal and cardiac cancer with obstructive dysphagia patients, including 9 cases of adenocarcinoma, squamous cell carcinoma in 2 cases. The average length of stenosis was 5.27cm (1 ~ 10cm). There were 6 cases with <5cm and 5 cases with 5 ~ 10cm. Intravenous diazepam and doehydrogalactine were administered intravenously before endoscopy. Incomplete obstruction with 12 or 18mm dilator expansion, in order to facilitate endoscopic stenosis. Application of treatment of varicose veins through the endoscopic biopsy hole needle into the deep tumor, injected with ethanol 0.5 ml or 1 ml to the injection site of the tumor tissue pale pale, if not pale, but