Ritchie A J, McManus K, McGuigan J, Stevenson H M, Gibbons J R
Northern Ireland Regional Thoracic Surgical Department, Royal Victoria Hospital, Belfast, UK.
Postgrad Med J. 1992 Nov;68(805):892-5. doi: 10.1136/pgmj.68.805.892.
The efficacy and safety of rigid oesophagoscopy in diagnostic and therapeutic settings in a consecutive series of 404 patients with oesophageal carcinoma were studied and compared to that for flexible oesophagoscopy in the same group. In addition, we examined the same parameters in a smaller group who had undergone radiotherapy with subsequent malignant stricturing. We performed 328 rigid procedures and 118 flexible procedures in a single regional surgical referral unit over a 7 year period. The combined perforation rate was 1.3%, with an overall mortality of 1% from 446 procedures. We conclude that rigid oesophagoscopy in the presence of carcinoma retains an important diagnostic and therapeutic role which can be achieved with low incidence of perforation in high-risk patients.
在连续的404例食管癌患者中，研究了硬式食管镜检查在诊断和治疗中的有效性和安全性，并与同一组患者的软式食管镜检查进行了比较。此外，我们在一组接受放疗后出现恶性狭窄的较小患者群体中检查了相同参数。在7年期间，我们在一个单一的区域外科转诊单位进行了328例硬式操作和118例软式操作。联合穿孔率为1.3%，446例操作的总死亡率为1%。我们得出结论，在存在癌症的情况下，硬式食管镜检查保留了重要的诊断和治疗作用，在高危患者中穿孔发生率较低的情况下即可实现。
