Gimigliano Raffaele, Bertella Marianna, Gimigliano Francesca, Iolascon Giovanni
Dipartimento di Chirurgia Ortopedica, Traumatologica e Riabilitazione, Cattedra di Medicina Fisica e Riabilitazione, Seconda Università di Napoli.
Rays. 2005 Oct-Dec;30(4):295-8.
Cancer of the esophagus has an unfavorable prognosis with a five-year survival rate after radical surgery of less than 10%; early diagnosis is difficult. The appearance of symptoms, particulary dysphagia, is due to more than 2/3 tumor involvement of the esophageal circumference, already present in 2/3 of patients at diagnosis. Symptoms can be local and/or systemic; they can be physical, psychic, iatrogenic and evolutive. A careful rehabilitation program should follow these patients during the entire course of their disease The rehabilitation approach intends to define areas of intervention, short-term goals, possible achievements, role of health operators and overall verifications. Common problems of patients with esophageal cancer, are analyzed. A rehabilitation program including the patient care throughout the hospitalization period to improve his/her autonomy with respect to his/her social and familial activities, is illustrated.
食管癌的预后不佳，根治性手术后的五年生存率低于10%；早期诊断困难。症状的出现，尤其是吞咽困难，是由于超过2/3的食管周径被肿瘤累及，在诊断时2/3的患者已出现这种情况。症状可以是局部和/或全身性的；可以是身体、心理、医源性和进展性的。在这些患者疾病的整个过程中，应遵循精心制定的康复计划。康复方法旨在确定干预领域、短期目标、可能取得的成果、健康护理人员的作用以及全面核查。分析了食管癌患者的常见问题。阐述了一个康复计划，该计划包括在整个住院期间对患者的护理，以提高其在社会和家庭活动方面的自主性。
