Hu X H
152nd Hospital, Jinan Military Command, PLA.
Zhonghua Zhong Liu Za Zhi. 1990 Sep;12(5):378-80.
Fifty-three cases with moderate or advanced esophageal and cardiac cancer treated by endoscopic microwave therapy are reported. The results showed that after 2 to 4 treatments, dysphagia was relieved in 52 (98%), esophageal re-expansion was seen in 48 (90%). Improvement was most pronounced in lesions predominantly shown as localized polypoid projection type. Biopsy after treatment was confirmed pathologically as necrosis in 24 cases. After treatment, the follow-up of 22 cases for over 3 months and 8 cases for over 6 months was carried out. 22/22 could maintain the therapeutic effectiveness and 5/8 were on soft diet (noodles and steamed bread). Microwave therapy is a palliative measure that can definitely improve the dysphagia in short term courses and prolong the survival. Microwave endoscopy, being easy in manipulation without complications, is very useful in the treatment of esophageal and cardiac cancers contra-indicated for surgery.
报告了53例中晚期食管癌和贲门癌患者接受内镜下微波治疗的情况。结果显示，经过2至4次治疗后，52例（98%）吞咽困难得到缓解，48例（90%）食管实现再扩张。在主要表现为局限性息肉样突出型的病变中改善最为明显。治疗后活检经病理证实24例为坏死。治疗后，对22例进行了3个月以上的随访，8例进行了6个月以上的随访。22/22能够维持治疗效果，5/8能够进软食（面条和馒头）。微波治疗是一种姑息性措施，肯定能在短期内改善吞咽困难并延长生存期。微波内镜操作简便且无并发症，在治疗手术禁忌的食管癌和贲门癌方面非常有用。
