Palliative Metallic Stent Deployment for Advanced Esophageal Cancer with Airway Invasion

背景：探討經硬式支氣管鏡置放之金屬支架在食道癌合併氣管侵犯的治療角色。方法：在十七位食道癌併氣管侵犯的病志中，共置放了二十三個金屬支架（十九個氣管支架，四個食道支架）。回溯性的分析治療成果及相關的併發症。結果：共有十六位病患得到滿意的成果。有88%的病患(15/17)在呼吸急促上有顯著改善。有三位病患在術後三十天內死亡(18%)。平均存活時間爲八十五天（5~262天）。有七個病患因咳血而死亡，此外有九個病患因肺炎及呼吸衰竭而死亡。結論：在治療食道癌合併氣管侵犯上，經硬式支氣管鏡置放金屬支架可有效的維持氣道通暢並改善病患的生活品質。

關鍵字

食道癌；氣管狹窄；氣管食道療管；氣管支架

並列摘要

Background: To determine the clinical roles of metallic airway stents emplaced via rigid bronchoscopy in patients with malignant airway lesion caused by esophageal cancer. Method: Seventeen patients with malignant airway lesions caused by esophageal cancer were treated by placement of 23 expandable stents (19 airway, 4 esophagus). The clinical evaluations and assessments were completed in all patients. Result: The procedures were successful in 16 cases. Improvements in dyspnea were achieved in 88% of the patients (15 of 17 patients). The 30-day mortality rate was 18% (3 of 17 patients). The mean survival times were 85 days (5 to 262 days). Seven patients died due to hemoptysis and 9 died with pneumonia and respiratory failure. Conclusion: The placement of the expandable nitinol stent via rigid bronchoscopy is feasible and effective in achieving a patent airway, relieving dyspnea, and improving the quality of life.

並列關鍵字

esophageal cancer ； airway stenosis ； tracheoesophageal fistula ； airway stent

國際替代計量

Palliative Metallic Stent Deployment for Advanced Esophageal Cancer with Airway Invasion

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