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本文报告24例晚期食管癌腔内插管术治疗的体会,病人均有严重的吞咽困难。开胸探查证明肿瘤不能切除,切开食管插管13例,其中3例死亡,另11例采用我们改进的拉管法插管,术后1例死亡。这类病人一般情况甚差,应作好术前准备。生存出院20例,其中13例获得随访,平均生存5.9月,7例生存半年以上,其中2例生存1年以上。文中较详细介绍拉管法插管的操作方法,作者认为此法简单,比较安全,对改善病人的营养状况有很大帮助。
This article reports 24 cases of advanced esophageal cancer endovascular treatment experience, patients have severe dysphagia. Open-chest exploration proved that the tumor could not be resected. 13 cases of esophageal intubation were excised, of which 3 cases died. The other 11 cases were intubated with our modified pull-tube method. One patient died after surgery. These patients are generally in poor condition and should be prepared for surgery. Survival discharged in 20 cases, of which 13 cases were followed up, the average survival of 5.9 months, 7 cases survived more than half a year, of which 2 cases survived for more than 1 year. The paper introduces the operation method of the pull tube method in detail. The author believes that this method is simple and relatively safe, which will greatly help to improve the patient’s nutritional status.