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[食管癌的姑息治疗]

[Palliative therapy of esophageal carcinoma].

作者信息

Decker P, Ulrich A, Decker D, Hirner A

机构信息

Chirurgische Klinik und Poliklinik, Rheinischen Friedrich-Wilhelms Universität, Bonn.

出版信息

Zentralbl Chir. 1998;123(6):697-702.

PMID:9703644
Abstract

For palliative endoscopic treatment of malignant dysphagia many different techniques are practiced. The differentiated usage of all techniques depending on the characteristics of the tumor leads to a good result with favorable costs. The following differentiated palliative regimen is presented: in the cervical part of the esophagus laser therapy or stent implantation are used, depending on the type of tumor growth. In the center section and the distal part of the esophagus usually palliative endoscopic pertubation is performed. If the stenosis is very soft and short a stent is implanted as alternative. In the gastroesophageal part flexible stents achieve the best results. Alternative laser therapy can be used.

摘要

对于恶性吞咽困难的姑息性内镜治疗,有许多不同的技术可供应用。根据肿瘤的特征对所有技术进行差异化使用,可带来良好的效果且成本效益可观。以下是一种差异化的姑息治疗方案:在食管颈部,根据肿瘤生长类型采用激光治疗或支架植入。在食管中段和远端,通常进行姑息性内镜扩张。如果狭窄非常柔软且较短,则可选择植入支架。在胃食管部位,柔性支架效果最佳。也可采用替代的激光治疗。

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