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目的 :观察金属覆膜支架置入结合放化疗治疗晚期食管癌性狭窄的治疗效果。方法 :对 30例经病理确诊为晚期食管癌又有明显管腔狭窄的患者植入带膜支架。其中A组 1 8例同时接受放疗和肿瘤供血动脉插管灌注化疗 ,B组单纯支架植入 1 2例。比较二组平均生存期及再狭窄发生情况。结果 :所有病例梗阻症状解除。A组生存期明显延长。二组现存活病人未见再狭窄发生。结论 :晚期食管癌置入覆膜支架后同时进行放化疗更有效地防止再狭窄 ,可延长生存期
Objective: To observe the therapeutic effect of metal stent graft combined with chemoradiotherapy in the treatment of advanced esophageal cancer stenosis. Methods: Thirty patients with pathologically diagnosed advanced esophageal carcinoma and significant stenosis were implanted with stents. In group A, 18 cases received radiotherapy and tumor-feeding artery infusion chemotherapy simultaneously, and group B received stent-graft only. The average survival time and restenosis in the two groups were compared. Results: Obstructive symptoms were relieved in all cases. A group of significantly prolonged survival. Two groups of surviving patients no restenosis occurred. Conclusion: Advanced esophageal cancer with stent implantation after radiotherapy and chemotherapy to prevent restenosis more effectively, can prolong survival