[1]王 谭,黎海亮,胡鸿涛,等.胃造瘘术和支架置入在吞咽困难的老年食管癌患者治疗中的效果比较[J].介入放射学杂志,2020,29(09):942-945.
 WANG Tan,LI Hailiang,HU Hongtao,et al.Percutaneous gastrostomy versus self-expandable metal stent insertion in treating elderly patients with esophageal cancer complicated by dysphagia[J].journal interventional radiology,2020,29(09):942-945.
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胃造瘘术和支架置入在吞咽困难的老年食管癌患者治疗中的效果比较()

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

卷:
29
期数:
2020年09
页码:
942-945
栏目:
临床研究
出版日期:
2020-09-25

文章信息/Info

Title:
Percutaneous gastrostomy versus self-expandable metal stent insertion in treating elderly patients with esophageal cancer complicated by dysphagia
作者:
王 谭 黎海亮 胡鸿涛 王 栋 贾争艳
Author(s):
WANG Tan LI Hailiang HU Hongtao WANG Dong JIA Zhengyan.
Department of Minimally-Invasive Intervention, Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, Henan Province 450008, China
关键词:
【关键词】 食管癌 胃造瘘术 支架 疗效 肠内营养
文献标志码:
A
摘要:
【摘要】 目的 分析和比较经皮胃造瘘术(percutaneous gastrostomy,PG)和自膨式金属支架(self-expandable metal stent,SEMS)置入两种营养提供方式在吞咽困难的老年食管癌患者应用中的优劣。方法 回顾性分析郑州大学附属肿瘤医院2014年2月至2018年12月收治的156例伴有吞咽困难评分≥2分的老年食管癌(≥70岁)患者的临床资料,按照接受SEMS置入或者PG分为PG组和SEMS组,比较两组患者术后早期死亡、并发症与额外治疗情况,以及术后2个月时的体质量指数、血清白蛋白、前白蛋白、血红蛋白和淋巴细胞计数的差异。结果 术后PG组的局部严重疼痛发生率明显低于SEMS组,差异有显著统计学意义(P<0.001)。两组在局部感染、消化道出血、吸入性肺炎、术后早期死亡、与额外治疗率的差异无统计学意义(P>0.05)。治疗2个月后,PG组患者的血清白蛋白、前白蛋白和血红蛋白水平明显高于SEMS组,差异有统计学意义(P<0.05)。两组的体质量指数和淋巴细胞计数的差异无统计学意义(P>0.05)。结论 相比SEMS置入,PG术后安全性和营养状态具有优势,在伴有吞咽困难的老年食管癌患者的治疗中可以考虑优先使用。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2019- 07- 13)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2020-09-15