CAJ | 학술논문

98例Ⅳ期食管癌患者接受内镜介入治疗，全部在内镜下行食管梗阻扩张解除术，21例行局部化疗，77例行支架治疗。结果：局部化疗使患者肿瘤缓解4%达CR，47%达PR，患者生存期90%左右达3个月以上，50%左右达半年以上，1%达1年左右，在生存期间，患者生活质量80%以上达Ⅱ级以上，疼痛、上消化道出血为主要合并症，但出血率仅占5%左右，重度疼痛约占10%。结论：内镜介入治疗为Ⅳ期食管癌患者的有效治疗方法。
98례Ⅳ기식관암환자접수내경개입치료，전부재내경하행식관경조확장해제술，21례행국부화료，77례행지가치료。결과：국부화료사환자종류완해4%체CR，47%체PR，환자생존기90%좌우체3개월이상，50%좌우체반년이상，1%체1년좌우，재생존기간，환자생활질량80%이상체Ⅱ급이상，동통、상소화도출혈위주요합병증，단출혈솔부점5%좌우，중도동통약점10%。결론：내경개입치료위Ⅳ기식관암환자적유효치료방법。
Objective:To study the relieved rate and the relieved period of obstruction of advanced gastroespageal carcinoma,also to study the complications by endoscopic treatment for this patients.Methods:161 cases of advanced gastroesoghageal patients were observated after dilation,who were taken memory metalstens or taken local chemotherapy.Results:Th PR of carcinoma was about 90%,CR was about 2% in the patients who were taken local chemotherapy,although the relieve of carcinoma could not be obtained in the patients who were taken memory metalstens but the quantity of life was improved and the period of life of these patients was prolonged,one of the patients with stens had lived for about one year.Conclusions:After dilation,endoscopic chemotherapy could be used to treat effectively the advanced gastroesophageal carcinoma.The quantity of the life of the patients who were taken metalstens.could be improved and the period of the life could be prolonged.