带膜内支架治疗食管气管瘘的临床分析  

Clinical Analysis of Treatment of Esophagotracheal Fistula by Covered-Stent

作　　者：斯光晏[1] 李玉伟[1] 涂国建[1] 李云辉[1] 郭召友[1] 

机构地区：[1]泸州医学院附属医院介入病房,四川泸州646000

出　　处：《实用放射学杂志》2005年第9期952-954,共3页Journal of Practical Radiology

摘　　要：目的探讨带膜内支架治疗食管气管瘘患者的必要性及临床处理中应注意的问题。方法在X线引导下15例食管气管瘘患者置入带膜金属内支架,术后随访至能进软食及感染痊愈。结果除1例患者术后2h出现呼吸困难致呼吸功能衰竭行气管切开后逐渐好转,术后因大咯血死亡1例,感染未控制及二重感染死亡各1例,其余病例行食管造影均见封堵瘘口成功,能进软食,感染控制较满意后出院。结论食管气管瘘带膜内支架成形术可以提高患者的生存率及生存质量。Objective To evaluate the necessity and the attentiveness in clinical dealings in the treatment of esophagotracheal fistula with a covered - stent. Methods Covered - stents were placed in 15 patients with esophagotracheal fistula under X - ray guided. After treatment ,the following - up was continued until the patients could eat soft food and the infection cured. Results Expiratory dyspnea was presented 2 hours later after treatment in 1 ease,and the bronchotomy was done,then this patient got better gradually. 3 cases were died due to serious hemoptysis,infection or opportunistic （ double infection ）. Others were successful and could take soft food, the infection were prevented. Conclusion The therapy of esophagotracheal fistula by covered stent can improve the survival rate and the living quality of the patients.

关 键 词：食管气管瘘 带膜支架 介入治疗 

分 类 号：R571[医药卫生—消化系统] R815[医药卫生—内科学]