Fjøsne H E, Erichsen H G, Sanderud A, Myrvold H E
Scand J Thorac Cardiovasc Surg. 1986;20(3):237-40. doi: 10.3109/14017438609105931.
One-hundred patients treated with oesophageal intubation for stricture-forming inoperable oesophago-gastric malignancies during the years 1972 to 1983 were analyzed. Fifteen tubes were endoscopically positioned, the rest by thoracotomy or laparotomy. Seven patients died from causes related to the intubation, the causes of death being perforation (2), mediastinitis (3) or aortic erosion (2). Mean survival-time was three months (range one day to 14 months). Nineteen of the most deteriorated patients died within two weeks. Eighty-seven percent of the patients experienced relief of dysphagia. Thus the intended palliation was satisfactory and the results therefore support oesophageal intubation as an alternative to be considered in the treatment of malignancies of the oesophagus and cardia. However, deteriorated patients with extremely short life expectancy might not benefit from the procedure.
对1972年至1983年间因食管胃恶性肿瘤形成狭窄而无法手术治疗且接受了食管插管的100例患者进行了分析。15根管子通过内镜放置，其余的通过开胸手术或剖腹手术放置。7例患者死于与插管相关的原因，死亡原因包括穿孔（2例）、纵隔炎（3例）或主动脉侵蚀（2例）。平均生存时间为3个月（范围为1天至14个月）。19例病情最严重的患者在两周内死亡。87%的患者吞咽困难得到缓解。因此，预期的姑息治疗效果令人满意，结果支持将食管插管作为治疗食管和贲门恶性肿瘤时可考虑的一种替代方法。然而，预期寿命极短的病情恶化患者可能无法从该手术中获益。
