[1]李俊超,张开贤,王 超,等.全覆膜分节食管内照射支架初步应用[J].介入放射学杂志,2018,27(01):45-49.
 LI Junchao,ZHANG Kaixian,WANG Chao,et al.Clinical application of fully- covered segmented esophageal internal irradiation stent: preliminary results[J].journal interventional radiology,2018,27(01):45-49.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
27
期数:
2018年01期
页码:
45-49
栏目:
非血管介入
出版日期:
2018-01-25

文章信息/Info

Title:
Clinical application of fully- covered segmented esophageal internal irradiation stent: preliminary results
作者:
李俊超 张开贤 王 超 陆 建 王 勇 陈 荔 朱光宇 郭金和
Author(s):
LI Junchao ZHANG Kaixian WANG Chao LU Jian WANG Yong CHEN Li ZHU Guangyu GUO Jinhe
Department of Intervention and Vascular Surgery, Affiliated Zhongda Hospital, Southeast University, Nanjing, Jiangsu Province 210009, China
关键词:
【关键词】 支架 食管癌 125I粒子 并发症
文献标志码:
A
摘要:
【摘要】 目的 探讨食管癌患者全覆膜分节食管内照射支架与普通食管内照射支架术后生存时间及并发症等方面差异。方法 回顾性分析66例置入食管内照射支架的食管癌患者,分为全覆膜分节食管内照射支架组30例(实验组)和普通食管内照射支架组36例(对照组),就两组病例术后的再狭窄、支架移位、胸痛等并发症情况及生存时间进行对照研究。以P<0.05为有统计学意义。结果 实验组与对照组再狭窄率无统计学意义(20.0%比30.6%,P=0.403);但实验组较对照组中位再狭窄发生时间延长(161.5 d比138 d,P=0.025)。实验组较对照组移位率增高(33.3%比8.3%,P=0.014),两组中位移位发生时间无统计学意义(91.5 d比166 d,P=0.236)。两组中位生存时间无统计学意义(186 d比178 d,P=0.486)。两组在其他支架相关并发症方面差异无统计学意义。结论 全覆膜分节食管内照射支架可以延缓支架再狭窄发生时间,但一定程度上增加了移位率。

参考文献/References:

[1] Zhu HD, Guo JH, Mao AW, et al. Conventional stents versus stents loaded with 125 Iodine seeds for the treatment of unresectable oesophageal cancer: a multicentre, randomised phase 3 trial[J]. Lancet Oncol, 2014, 15: 612- 619.
[2] Guo JH, Teng GJ, Zhu GY, et al. Self- expandable esophageal stent loaded with 125I seeds: initial experience in patients with advanced esophageal cancer[J]. Radiology, 2008, 247: 574- 581.
[3] 郭金和, 滕皋军, 何仕诚, 等. 食管内照射支架的研制及临床应用的初步结果[J]. 中华放射学杂志, 2004, 38: 916- 920.
[4] Maier A, Tomaselli F, Gebhard F, et al. Palliation of advanced esophageal carcinoma by photodynamic therapy and irradiation[J]. Ann Thorac Surg, 2000, 69: 1006- 1009.
[5] Park JH, Song HY, Shin JH, et al. Migration of retrievable expandable metallic stents inserted for malignant esophageal strictures: incidence, management, and prognostic factors in 332 patients[J]. AJR Am J Roentgenol, 2015, 204: 1109- 1114.
[6] 于慧敏, 张宏涛, 丁柏英, 等. 不同间距125I 粒子放射性食管支架的剂量学对比[J]. 介入放射学杂志, 2015, 24: 338- 341.
[7] Herszenyi L, Tulassay Z. Epidemiology of gastrointestinal and liver tumors[J]. Eur Rev Med Pharmacol Sci, 2010, 14: 249- 258.
[8] Jemal A, Bray F, Center MM, et al. Global cancer statistics[J]. CA Cancer J Clin, 2011, 61: 69- 90.
[9] Chen W, Zheng R, Zhang S, et al. Report of cancer incidence and mortality in China, 2010[J]. Ann Transl Med, 2014, 2: 61.
[10] Pennathur A, Gibson MK, Jobe BA, et al. Oesophageal carcinoma[J]. Lancet, 2013, 381: 400- 412.
[11] Acunas B, Rozanes I, Akpinar S, et al. Palliation of malignant esophageal strictures with self- expanding nitinol stents: drawbacks and complications[J]. Radiology, 1996, 199: 648- 652.
[12] 郭金和, 滕皋军, 朱光宇, 等. 食管内照射支架的研制及动物实验研究[J]. 中华放射学杂志, 2006, 40: 550- 555.
[13] Guo JH, Teng GJ, Zhu GY, et al. Self- expandable stent loaded with 125I seeds: feasibility and safety in a rabbit model[J]. Eur J Radiol, 2007, 61: 356- 361.
[14] Bergquist H, Johnsson E, Nyman J, et al. Combined stent insertion and single high- dose brachytherapy in patients with advanced esophageal cance: results of a prospective safety study[J]. Dis Esophagus, 2012, 25: 410- 415.
[15] Dai Z, Zhou D, Hu J, et al. Clinical application of iodine- eluting stent in patients with advanced esophageal cancer[J]. Oncol Lett, 2013, 6: 713- 718.
[16] 朱光宇, 滕皋军, 郭金和, 等. 支架端改型防治食管支架术后再狭窄的临床应用[J]. 介入放射学杂志, 2011, 20: 440- 443.
[17] Jiang XJ, Song MQ, Xin YN, et al. Endoscopic stenting and concurrent chemoradiotherapy for advanced esophageal cancer: a case- control study[J]. World J Gastroenterol, 2012, 18: 1404- 1409.
[18] Ko HK, Song HY, Shin JH, et al. Fate of migrated esophageal and gastroduodenal stents: experience in 70 patients[J]. J Vasc Interv Radiol, 2007, 18: 725- 732.
[19] Bay J, Penninga L. Small bowel ileus caused by migration of oesophageal stent[J]. Ugeskr Laeger, 2010, 172: 2234- 2235.
[20] Harries R, Campbell J, Ghosh S. Fractured migrated oesophageal stent fragment presenting as small bowel obstruction three years after insertion[J]. Ann R Coll Surg Engl, 2010, 92: W14- W15.

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备注/Memo

备注/Memo:
(收稿日期:2017-01-09)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2018-01-26