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晚期梗阻性食道癌患者23例,其中7例为晚期转移不能手术者,16例手术后复发,放疗后又复发者。22例均首先采用扩张术,7例不能手术者中2例患食道支气管瘘,其中1例放支架后采用放疗,另1例放支架后采用化疗,其余5例无食道支气管瘘者一律放支架解除梗阻后进行放疗,16例多次治疗复发者,除扩张外,分别采用微波、局部化疗及合并症出血治疗,止血成功率达67%以上,扩张后消化道梗阻解除率达100%。内镜局部化疗肿瘤缓解率90%以上达PR。
23 patients with advanced obstructive esophageal cancer, of which 7 patients with advanced metastasis can not surgery, 16 patients relapsed after surgery, relapse after radiotherapy. Twenty-two cases were treated with dilatation at first, and two cases with esophageal bronchial fistula were excluded in seven cases. Among them, one case received radiotherapy after stent placement and the other received chemotherapy after stent placement. The remaining five patients without esophageal bronchial fistula Radiotherapy was performed after the obstruction was relieved. In addition to the expansion, 16 cases were treated with microwave, local chemotherapy and complications of hemorrhage. The success rate of hemostasis was over 67%, and the rate of digestive tract obstruction was 100% after the expansion. Endoscopic local chemotherapy tumor response rate of 90% or more of PR.