Függer R, Niederle B, Jantsch H, Schiessel R, Schulz F
1st Clinic of Surgery, Vienna University.
Endoscopy. 1990 May;22(3):101-4. doi: 10.1055/s-2007-1012811.
One hundred endoscopic tube implantations were carried out on 95 patients with malignant esophageal stenosis. Palliative treatment was performed in 43% of cases because of the advanced stage of the tumor, and in 57% of cases because of risk factors which made resection inadvisable. Clinical mortality was 16%, with six deaths caused by technical complications (perforation, arrosion bleeding), and ten by cardiopulmonary problems. Dislodgement or obstruction of the prostheses was observed in 20% of cases, but could readily be corrected. The median survival time was two months, with 17% of the patients still alive after six months. Poor general health, advanced age and the presence of distant metastases were established as unfavorable prognostic indications with a significant influence on postoperative mortality. Functional results were good: 87% of patients were able to eat solid or pulpy food post-operatively.
对95例食管恶性狭窄患者进行了100次内镜下置管术。43%的病例因肿瘤晚期进行姑息治疗，57%的病例因存在使切除术不可行的危险因素而进行姑息治疗。临床死亡率为16%，6例死于技术并发症（穿孔、腐蚀出血），10例死于心肺问题。20%的病例观察到假体移位或阻塞，但可轻易纠正。中位生存时间为两个月，6个月后仍有17%的患者存活。一般健康状况差、高龄和存在远处转移被确定为不良预后指标，对术后死亡率有显著影响。功能结果良好：87%的患者术后能够进食固体或糊状食物。
