[1]严 烁,曹 燕,姜昊声,等.覆膜支架联合介入化疗治疗恶性食管 气管瘘的对照研究[J].介入放射学杂志,2015,(04):323-327.
 YAN Shuo,CAO Yan,JIANG Hao sheng,et al.Covered expandable metallic stent placement combined with interventional chemotherapy for malignant esophago tracheal fistulae: a randomized comparison study[J].journal interventional radiology,2015,(04):323-327.
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覆膜支架联合介入化疗治疗恶性食管 气管瘘的对照研究()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2015年04期
页码:
323-327
栏目:
非血管介入
出版日期:
2015-04-25

文章信息/Info

Title:
Covered expandable metallic stent placement combined with interventional chemotherapy for malignant esophago tracheal fistulae: a randomized comparison study
作者:
严 烁  曹 燕  姜昊声  方世明  吴绍秋  蒋霆辉  茅爱武
Author(s):
YAN Shuo CAO Yan JIANG Hao sheng FANG Shi ming WU Shao qiu JIANG Ting hui MAO Ai wu
Department of Interventional Radiology, Affiliated Tongren Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200050, China
关键词:
食管癌 恶性食管气管瘘 支架 动脉插管灌注化疗
文献标志码:
A
摘要:
目的 探讨覆膜支架置入联合介入化疗治疗恶性食管气管瘘的安全性和疗效,并与单纯支架置入治疗比较。方法 选择食管癌合并食管气管瘘60例患者行内支架置入联合介入化疗或单纯内支架置入治疗。60例患者随机分为支架组(A组)28例、支架联合介入化疗组(B组)32例,定期随访观察两组的近、远期疗效,并对有效率、中位生存时间、并发症进行统计分析。结果 60例患者中,58例支架置入堵瘘成功,成功率96.7%。A组中位生存时间为3.6个月,B组为8.7个月,两组差异有统计学意义(P<0.05)。B组 1、3、6个月时的有效率分别为78.1%、68.8%、62.5%。并发症中食管支架再狭窄率,B组低于A组。结论 内支架置入联合介入化疗能提高恶性食管气管瘘患者的中位生存期,并减少了支架带来的并发症,是一种安全、有效的治疗方法。

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备注/Memo

备注/Memo:
(收稿日期:2014-06-04)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2015-04-27