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目的探讨12 mm直径的食管支架治疗食管癌放疗后狭窄的疗效和并发症的发生情况。方法 62例食管癌放疗后狭窄患者随机分为A组(32例)和B组(30例),分别置入12 mm直径和16 mm直径CZES型食管支架治疗,术后随访半年,比较两组疗效和并发症的发生情况。结果两组进食均得到明显改善,两组之间差异无统计学意义(P>0.05)。A组患者支架置入后胸痛发生率和疼痛程度明显低于B组(P<0.01),两组患者术后支架阻塞与再狭窄、支架移位与脱落、大出血、穿孔等并发症的发生率差异无统计学意义(P>0.05)。结论 12 mm直径食管支架治疗食管癌放疗后狭窄疗效好,疼痛并发症轻。
Objective To investigate the efficacy and complications of 12 mm diameter esophageal stent for the treatment of esophageal cancer after radiotherapy. Methods Sixty-two patients with esophageal cancer after radiotherapy were randomly divided into group A (n = 32) and group B (n = 30). The patients were treated with 12 mm diameter and 16 mm diameter CZES esophageal stent. The patients were followed up for 6 months. Efficacy and complications of the situation. Results Both groups were significantly improved eating, the difference between the two groups was not statistically significant (P> 0.05). The incidence and pain of chest pain in group A were significantly lower than those in group B after stent implantation (P <0.01). The incidence of postoperative complications such as block and restenosis of stents, displacement and shedding of stents, major bleeding and perforation The difference was not statistically significant (P> 0.05). Conclusion 12 mm diameter esophageal stent treatment of esophageal cancer stenosis after radiotherapy good curative effect, light pain complications.