在不可手术的肺癌中缓解恶性消化不良
Piotr Obarski1, Janusz Włodarczyk2
1Department of Thoracic Surgery and Surgical Oncology, John Paul II Hospital, Cracow, Poland.
Annals of palliative medicine
|July 21, 2023
概括
患有恶性消化不良的肺癌患者可以从食道和支气管支架中受益,改善吞,呼吸和生活质量. 这种息治疗有助于进一步的瘤治疗.
科学领域:
- 干预性肺病学 干预性肺病学
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 肺癌可能导致恶性消化不良,因为它靠近食道.
- 食道和支气管树的恢复是这些患者的关键息干预措施.
研究的目的:
- 为了回顾评估食道和/或支气管树支架在患有恶性消化不良的肺癌患者的疗效.
- 评估食障碍,呼吸障碍,生活质量和支架后生存率的改善.
主要方法:
- 分析了84名在2008-2018年间被诊断患有恶性消化不良的肺癌患者.
- 患者根据食道和支气管的参与 (I,II,III组) 进行分组.
- 干预措施包括自我扩张和Y支架;结果在手术前和后进行了评估.
主要成果:
- 在所有组中,支架显著改善了食障碍得分 (P<0.0001).
- 气喘在患有支气管阻塞的患者中减少 (P<0.001).
- 用卡诺夫斯基表现量表来衡量生活质量,在所有组中都显著改善 (P<0.0001).
结论:
- 食道和支气管支架在缓解肺癌患者恶性消化不良时是有效的.
- 这些程序提高了生活质量,并允许继续进行瘤治疗.
- 虽然发生了颗粒瘤形成和支架迁移等并发症,但通过重新支架,这些并发症是可以控制的.
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