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目的总结50例食管恶性狭窄患者应用放射性核素粒子食管支架的治疗效果。方法选取吉林市北华大学附属医院心胸外科治疗的100例食管恶性狭窄患者,分为放射性核素粒子食管支架组(治疗组)和普通食管支架组(对照组),在内镜引导下,使导丝通过病变段食管,然后在导丝引导下置入支架输送器,确定位置满意后,退出导丝及输送器。结果放射性相关并发症治疗组全部病例生存期内未发现放射性肺炎、骨髓抑制、免疫力减退等。两组间并发症发生率比较,差异无统计学意义(P>0.05)。两组患者在治疗后生存期方面存在差异有统计学意义(P<0.05)。结论在治疗食管恶性狭窄过程中应用放射性粒子支架是有效且安全的。
Objective To summarize the therapeutic effect of radionuclide particle esophageal stent in 50 patients with malignant esophageal stenosis. Methods A total of 100 patients with esophageal stricture treated with cardiothoracic surgery at Affiliated Hospital of Beihua University in Jilin City were enrolled in this study. The patients were divided into radionuclide granule esophageal stent group (treatment group) and ordinary esophageal stent group (control group) Guide wire through the lesion of the esophagus, and then placed under the guidance of guide wire stent scaffold, to determine the location satisfied, exit the guide wire and conveyor. Results No radiation pneumonitis, myelosuppression, immunodeficiency and so on were found in the survival of all cases of radiation-related complications. The incidence of complications between the two groups, the difference was not statistically significant (P> 0.05). Two groups of patients in the survival time after treatment there was a significant difference (P <0.05). Conclusion The application of radioactive particle scaffold in the treatment of malignant esophageal stenosis is effective and safe.