CAJ | 학술논문

目的：探讨数字胃肠机动态食管造影对指导中晚期食管癌支架植入的临床应用价值。方法：筛选中晚期食管癌患者50例，作为研究对象。采用随机数表法将所有患者分为试验组与对照组，每组患者25例，试验组应用数字胃肠机进行动态食管造影指导手术食管支架植入，对照组采用传统食管造影指导支架植入。比较两组患者手术中支架一次性植入成功率及术后并发症发生情况。结果：试验组患者手术中食管支架一次性植入成功率明显高于对照组，具有统计学意义（ P<0.05）；试验组发生术后出血2例，吞咽困难0例，食管穿孔0例，与对照组比较存在显著优势，具有统计学意义（ P<0.05）。结论：应用数字胃肠机动态食管造影指导中晚期食管癌支架植入手术可明显提高支架植入成功率，降低患者医源性损伤，缩短手术用时减少辐射剂量，同时对降低并发症发生率具有显著效果。
목적：탐토수자위장궤동태식관조영대지도중만기식관암지가식입적림상응용개치。방법：사선중만기식관암환자50례，작위연구대상。채용수궤수표법장소유환자분위시험조여대조조，매조환자25례，시험조응용수자위장궤진행동태식관조영지도수술식관지가식입，대조조채용전통식관조영지도지가식입。비교량조환자수술중지가일차성식입성공솔급술후병발증발생정황。결과：시험조환자수술중식관지가일차성식입성공솔명현고우대조조，구유통계학의의（ P<0.05）；시험조발생술후출혈2례，탄인곤난0례，식관천공0례，여대조조비교존재현저우세，구유통계학의의（ P<0.05）。결론：응용수자위장궤동태식관조영지도중만기식관암지가식입수술가명현제고지가식입성공솔，강저환자의원성손상，축단수술용시감소복사제량，동시대강저병발증발생솔구유현저효과。
Objective To investigate the clinical value of dynamic digital gastrointestinal machine esophagoraphy to guide advanced e-sophageal stent implantation. Method 50 patients with advanced esophageal cancer were selected as research subjects. All the patients were divided into experimental and control groups by way of a random number table method,25 patients in each groups,the experimental group was applied dynamic application of digital gastrointestinal machine to guide esophagoraphy esophageal stent implantation surgery,the control group was applied traditional esophageal stent angiographic guidance. Two groups were compared in disposable surgical stent implan-tation success rate and incidence of postoperative complications. Results The disposable esophageal stent implantation success rate of surgi-cal patients in the experimental group was significantly higher,the difference was statistically significant(P<0. 05);Two cases of postoper-ative bleeding in the experimental group occurred,0 case of dysphagia,esophageal perforation 0 case,and there was a significant advantage compared with control group,the difference was statistically significant( P<0. 05 ). Conclusion The application of digital gastrointestinal machine dynamic contrast to guide for advanced esophageal cancer esophageal stent stent implantation surgery can significantly improve the success rate and reduce iatrogenic injury patients,shorten to reduce the radiation dose during surgery,while reducing the incidence of com-plications with significant effect.