Ahmed M E, Gustavsson S
Department of Surgery, University Hospital, Uppsala, Sweden.
Acta Chir Scand. 1990 Jan;156(1):95-8.
Esophageal carcinoma is often advanced at diagnosis, and management consequently can only be palliative, with relief of dysphagia and its consequences as the primary aim. The various methods for palliation are reviewed and their indications, advantages and drawbacks are discussed. If resection of the tumor is not feasible, YAG laser therapy seems to be the palliative method of choice in malignant dysphagia.
食管癌在确诊时往往已处于晚期,因此治疗通常只能是姑息性的,主要目的是缓解吞咽困难及其后果。本文综述了各种姑息治疗方法,并讨论了其适应证、优点和缺点。如果肿瘤无法切除,YAG激光治疗似乎是治疗恶性吞咽困难的首选姑息方法。