钕钇铝石榴石激光治疗对直肠乙状结肠肿瘤的姑息治疗
Palliation of rectosigmoid neoplasms with Nd:YAG laser treatment.
作者信息
Schulze S, Lyng K M
机构信息
Department of Surgical Gastroenterology F, Bispebjerg University Hospital, Copenhagen, Denmark.
出版信息
Dis Colon Rectum. 1994 Sep;37(9):882-4. doi: 10.1007/BF02052592.
PURPOSE
The aim of this study was to evaluate the effect of Nd:YAG laser treatment as palliation for rectosigmoid neoplasms.
METHODS
Indications for laser therapy, the degree and duration of symptom relief, complication rate, and survival time were recorded in consecutive patients.
RESULTS
Seventy-four patients entered the study. Poor general health in older patients, and disseminated or complicating disease were the most frequent indications for therapy. Fifty-five (74 percent) patients experienced good symptomatic effect from the treatment. Six complications occurred: five cases of perforation and one case of moderate bleeding. There was no mortality. The median survival was seven months (range, 14 days-39 months).
CONCLUSION
Laser treatment is a good palliative method in patients with colorectal cancer, especially in patients with local recurrence or symptoms from non-resected tumors.
目的
本研究旨在评估钕钇铝石榴石激光治疗对直肠乙状结肠肿瘤的姑息治疗效果。
方法
记录连续患者的激光治疗指征、症状缓解程度和持续时间、并发症发生率及生存时间。
结果
74例患者进入研究。老年患者总体健康状况差、疾病播散或并发疾病是最常见的治疗指征。55例（74%）患者治疗后症状改善良好。发生6例并发症：5例穿孔和1例中度出血。无死亡病例。中位生存期为7个月（范围14天至39个月）。
结论
激光治疗是结直肠癌患者的一种良好姑息治疗方法，尤其适用于局部复发或未切除肿瘤引起症状的患者。
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