CAJ | 학술논문

目的：分析探讨金属支架治疗食管癌狭窄的临床效果。方法：选取2010年7月-2013年7月36例确诊为食管癌狭窄的患者作为研究对象，所有患者均采经内镜放置覆膜金属支架方法进行治疗，采用回顾性的方法对本组患者的临床资料进行分析，对手术方法及治疗效果进行分析评价。结果：本组36例食管癌狭窄患者经治疗后，手术操作成功率为100%；患者主要临床症状吞咽困难、呛咳、餐后呕吐等临床症状得到明显改善，2周后进食困难分级评分由治疗前的3.26级降至1.03级；实施食管金属支架置入术后主要产生的并发症有疼痛、出血、食管再狭窄、胃食管反流及支架移位等，经过后期治疗，并发症有所缓解或彻底消失；经随访，患者生存期得到显著提高。此外，患者治疗前后焦虑自评量表及抑郁自评量表评分比较，差异有统计学意义（P<0.05）。结论：采用金属支架置入法治疗食管癌狭窄具有显著的治疗效果，操作简单，安全性高，对患者造成的创伤小，手术成功率高，值得临床推广使用。
목적：분석탐토금속지가치료식관암협착적림상효과。방법：선취2010년7월-2013년7월36례학진위식관암협착적환자작위연구대상，소유환자균채경내경방치복막금속지가방법진행치료，채용회고성적방법대본조환자적림상자료진행분석，대수술방법급치료효과진행분석평개。결과：본조36례식관암협착환자경치료후，수술조작성공솔위100%；환자주요림상증상탄인곤난、창해、찬후구토등림상증상득도명현개선，2주후진식곤난분급평분유치료전적3.26급강지1.03급；실시식관금속지가치입술후주요산생적병발증유동통、출혈、식관재협착、위식관반류급지가이위등，경과후기치료，병발증유소완해혹철저소실；경수방，환자생존기득도현저제고。차외，환자치료전후초필자평량표급억욱자평량표평분비교，차이유통계학의의（P<0.05）。결론：채용금속지가치입법치료식관암협착구유현저적치료효과，조작간단，안전성고，대환자조성적창상소，수술성공솔고，치득림상추엄사용。
Objective:To analyze and discuss the clinical effect of metal stents on the treatment of esophageal carcinoma stricture. Method:36 patients diagnosed as esophageal carcinoma stricture from July 2010 to July 2013 were selected as the subjects for this study,and all of them were treated with endoscopic placement of covered metal stents. All the clinical materials from these patients were analyzed retrospectively,and the treatment method and effect were assessed. Result:All the 36 patients with esophageal carcinoma stricture had 100%success rate after treatment. The patients’main clinical symptoms like difficulty in swallowing,irritating cough,vomiting after eating had been improved obviously. The grading-score of difficulty in feeding after 2 weeks had decreased from 3.26 before treatment to 1.03. The main complications after the endoscopic placement of covered metal stents were including pain,bleeding,esophageal restenosis,gastro-esophageal reflux and stent shifting,and the complications were reduced or disappeared through subsequent treatment. The follow-up visits showed that the patients’survival time had been improved significantly. Moreover,the patients’self-rating anxiety scale and self-rating depression scale before and after treatment had a significant difference(P<0.05). Conclusion:The treatment of esophageal carcinoma stricture through endoscopic placement of covered metal stents has significant treatment effect,simple procedure,high safety,small surgical trauma to patients and a high success rate that it’s worth for being widely used in the clinic.