摘要
目的探讨内镜联合DSA透视食管支架植入治疗晚期食管癌吞咽困难的临床价值。方法选取2016年2月~2019年2月沈阳市第四人民医院收治的晚期食管癌吞咽困难患者80例作为研究对象,根据患者及其家属治疗意愿,分为观察组与对照组,各40例。所有患者均在局部麻醉下实施支架置入术,其中观察组实施内镜联合DSA引导X线监视下支架植入术,对照组实施单纯的DSA引导食管支架置入。比较两组的消化道指标,治疗前后机体内毒素水平变化及并发症发生情况。结果治疗后观察组肛门排气时间、肠鸣音恢复时间和正常进食时间均早于对照组,差异有统计学意义(P<0.05)。治疗后,两组机体内毒素水平均低于治疗前,且观察组机体内毒素水平低于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论针对食管癌支架置入术患者,观察组在内镜联合DSA透视引导,能更好地解除食道梗阻,降低内毒素水平,且安全性高。
Objective To investigate the clinical value of endoscopy combined with DSA fluoroscopic esophageal stent implantation in the treatment of dysphagia of advanced esophageal cancer.Methods A total of 80 patients with dysphagia with advanced esophageal cancer admitted to Shenyang Fourth People′s Hospital from February 2016 to February 2019 were selected as the research subjects.According to the treatment willingness of the patients and their families,they were divided into the observation group and the control group,with 40 cases in each group.All the patients underwent stent implantation under local anesthesia,among which the observation group received stent implantation under endoscopy combined with DSA-guided X-ray monitoring,while the control group received simple DSA-guided esophageal stent implantation.The digestive tract indexes,endotoxin level changes before and after treatment and the incidence of complications were compared between the two groups.Results After treatment,the anal exhaust time,recovery time of bowel sounds and normal eating time in the observation group were all earlier than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the endotoxin level in the body of both groups were lower than those before treatment,and the endotoxin level in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion For esophageal cancer undergoing stent implantation,the observation group can relieve esophageal obstruction better,reduce endotoxin level and have high safety under the guidance of endoscopy combined with DSA fluoroscopy.
作者
刘志敏
LIU Zhi-min(Geriatric Medical Center,Shenyang Fourth People′s Hospital,Liaoning Province,Shenyang110031,China)
出处
《中国当代医药》
CAS
2021年第6期55-57,共3页
China Modern Medicine
关键词
内镜
DSA透视
食管
支架植入
晚期食管癌
吞咽困难
Endoscopy
DSA perspective
Esophagus
Stent implantation
Advanced esophageal cancer
Dysphagia
