CAJ | 학술논문

目的探讨内放疗支架(即125I粒子支架)治疗中晚期食管癌的可行性及疗效.方法选择15例中晚期食管癌患者,在X线监视下经口置入捆绑125I放射粒子的食管支架到病变部位.结果术后全部病例吞咽困难等临床症状明显改善,未出现感染,食管穿孔、大出血、放射性肺炎等严莺并发症.随访3～6个月复查示14例病变体积较前不同程度缩小,1例病变增大且组织长人支架上口,发生再狭窄.结论食管内放疗支架临床应用疗效显著,且安全可行.
목적 탐토내방료지가(즉125I입자지가)치료중만기식관암적가행성급료효.방법 선택15례중만기식관암환자,재X선감시하경구치입곤방125I방사입자적식관지가도병변부위.결과 술후전부병례탄인곤난등림상증상명현개선,미출현감염,식관천공、대출혈、방사성폐염등엄앵병발증.수방3～6개월복사시14례병변체적교전불동정도축소,1례병변증대차조직장인지가상구,발생재협착.결론 식관내방료지가림상응용료효현저,차안전가행.
Objective To discuss the feasibility and curative effect of intra-radiation stenting(125Iparticle stent)for the treatment of advanced esophageal cancers.Methods Fifteen patients with advanced esophageal cancer were enrolled in this study.Under X-ray guidance the esophageal stent,which was tied up with 125I radioactive particles,was orally inserted to the diseased region of the esophagus.The clinical manifestations and imaging findings were observed and the results were analyzed.Results After the operation all the clinical symptoms such as dysphasia showed an obvious improvement.No serious complications such as infection,hemorrhage,radiation pneumonia,etc.Occurred.The re-examination at 3-6 months after the treatment showed that the tumor size Was decreased in a certain degree in 14 patients,and in the remaining one patient the lesion became bigger and grew to the upper opening of the stent,resulting in esophageal restenosis.Conclusion The intra-esophageal implantation of radioactive stent is a feasible and safe treatment for the advanced esophageal cancers with excellent curative results.