|
|
|
| Clinical value of endoscopy combined with DSA fluoroscopic esophageal stent implantation in the treatment of dysphagia of advanced esophageal cancer |
| LIU Zhi-min |
| Geriatric Medical Center,Shenyang Fourth People′s Hospital,Liaoning Province,Shenyang 110031,China |
|
|
|
|
Abstract Objective To investigate the clinical value of endoscopy combined with DSA fluoroscopic esophageal stent implantation in the treatment of dysphagia of advanced esophageal cancer.Methods A total of 80 patients with dysphagia with advanced esophageal cancer admitted to Shenyang Fourth People′s Hospital from February 2016 to February 2019 were selected as the research subjects.According to the treatment willingness of the patients and their families,they were divided into the observation group and the control group,with 40 cases in each group.All the patients underwent stent implantation under local anesthesia,among which the observation group received stent implantation under endoscopy combined with DSA-guided X-ray monitoring,while the control group received simple DSA-guided esophageal stent implantation.The digestive tract indexes,endotoxin level changes before and after treatment and the incidence of complications were compared between the two groups.Results After treatment,the anal exhaust time,recovery time of bowel sounds and normal eating time in the observation group were all earlier than those in the control group,and the differences were statistically significant (P＜0.05).After treatment,the endotoxin level in the body of both groups were lower than those before treatment,and the endotoxin level in the observation group was lower than that in the control group,the differences were statistically significant (P＜0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant (P＜0.05).Conclusion For esophageal cancer undergoing stent implantation,the observation group can relieve esophageal obstruction better,reduce endotoxin level and have high safety under the guidance of endoscopy combined with DSA fluoroscopy.
|
|
|
|
|
|
| [3] |
王艳丽，谢霞，周建云，等.OTSC 吻合夹在内镜下治疗食管癌术后吻合口瘘中的应用[J].局解手术学杂志，2019，28（4）：299-302.
|
| [4] |
修辉，刘希双.内镜下黏膜切除术与内镜黏膜下剥离术治疗早期食管癌及癌前病变的有效性及安全性分析[J].中国中西医结合消化杂志，2019，27（4）：298-304.
|
| [1] |
庞霄君，丁秋龙，潘文胜.早期食管癌内镜黏膜下剥离术后胃体上部穿孔诊治分析[J].实用肿瘤杂志，2019，19（3）：267-269.
|
| [2] |
魏晓华，郭俊霞.不同内镜技术在食管癌及癌前病变筛查中的应用价值研究[J].陕西医学杂志，2019，48（5）：591-594.
|
| [5] |
黄莉，王东峰，李洪霖，等.内镜下ESD 治疗早期食管癌的有效性、安全性[J].中国老年学杂志，2019，39（7）：1580-1583.
|
| [6] |
沈晶晶，郑虹立，张慧.强的松对食管癌内镜黏膜下剥离术术后狭窄的预防作用[J].现代实用医学，2019，31（3）：357-358.
|
| [7] |
韦树理，宁琳.窄带成像内镜在早期食管癌诊断及治疗中的应用进展[J].广西医学，2019，41（5）：633-635.
|
| [8] |
班志芬.消化内镜技术在早期食管癌及癌前病变诊断和治疗中的应用[J].慢性病学杂志，2019，20（3）：377-378，381.
|
| [9] |
王宇，陈香宇.激素不同给药途径预防浅表性食管癌内镜黏膜下剥离术后食管狭窄疗效观察[J].医药论坛杂志，2019，40（2）：4-7.
|
| [10] |
苏法，杨莉芳.NBI 放大内镜联合超声内镜在早期食管癌及癌前病变中的诊断价值[J].现代消化及介入诊疗，2019，24（1）：91-93.
|
| [11] |
金静，梁晓芹.针对性护理干预在早期食管癌内镜黏膜下剥离术后留置胃管患者中应用[J].慢性病学杂志，2019，20（1）：88-89，92.
|
| [12] |
高亚东，屈亚威，刘海峰.放大内镜与超声内镜对早期食管癌浸润深度诊断价值的Meta分析[J].重庆医学，2019，48（1）：98-101，105.
|
| [13] |
荆强，陈晶，王雯，等.食管癌患者内镜下剥离术后曲安奈德注射联合甲泼尼龙片口服效果观察[J].山东医药，2018，58（41）：54-56.
|
| [14] |
马跃峰，邢鑫，孔冉冉，等.食管癌术前超声内镜T、N 分期与术后病理T、N 分期的比较[J].现代肿瘤医学，2018，26（21）：3404-3407.
|
| [15] |
苏振华，王亮，魏思忱，等.窄带成像放大内镜指导靶向活检对早期食管癌诊断的临床价值[J].中国内镜杂志，2019，25（1）：16-21.
|
| [16] |
Cheng WC，Shen MF，Wu BR，et al.The prognostic predictors of patients with airway involvement due to advanced esophageal cancer after metallic airway stenting using flexible bronchoscopy[J].J Thorac Dis，2019，11（9）：3929-3940.
|
| [17] |
Chen HL，Shen WQ，Liu K.Radioactive self-expanding stents for palliative management of unresectable esophageal cancer：a systematic review and meta-analysis[J].Dis Esophagus，2017，30（5）：1-16.
|
|
|
|
