食管恶性穿孔性病变的介入姑息性治疗  

Interventional appeasing therapy of esophagus malignancy perforation pathologicalchange

作　　者：陆玉和[1] 唐守言[1] 陈学银[1] 张春洋[1] 陈培忠[1] 王自立[1] 

机构地区：[1]滁州市第一人民医院放射科,安徽239000

出　　处：《安徽卫生职业技术学院学报》2006年第4期19-20,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:总结食管癌穿孔的介入姑息性治疗经验,分析食管支架的选择设计与疗效的关系。方法:5例食管癌穿孔的病人,放置5枚覆膜金属支架;其中3例食管胸膜瘘,1例食管纵隔瘘,1例食管胃吻合口瘘,均在电视透视下经定位经口置入支架。结果:5例支架全部释放成功,4例术后均能经口进食,其中3例食管胸膜瘘通过胸腔闭式引流,积液吸收、消散,体温恢复正常;1例食管纵隔瘘未经引流自行吸收。另1例食管胃吻合口瘘未能完全封堵,3周后患者死于衰竭。结论:覆膜内支架姑息性介入治疗食管恶性穿孔,安全有效,简便,能提高病人生存质量。Objective To summarize the interventional therapeutic experience of esophagus cancerous pertoration,and to analyze the relationship between the stent design and its therapeutic effect.Methods 5 covered-stent were placed in 5 patients, including 3 cases of esophagus-pleura fistulas, one case of esophagus-mediastemum fistula, and one case of esophagus-stomach fistula.All the stents were put in per mouth under the guidance of fluoroscopic television.Results 5 stents were successfully put in all patients,of which 4 cases could eat normally,3 cases of esophagus-pleura fistulas returned to normal after through thoracic cavity close- type drainage, and one patient of esophagus-mediasternum fistula recovered automatically without any management.Another one patient died of failure to block the fistula of esophagus-stomach 3 weeks later.Conclusion Covered-stent placement technique is a conservative,safe and effective therapeutic measure to treat improve the patients survival quality. malignant esophageal perforation and can improve the patients survival quality.

关 键 词：食管癌 穿孔 吻合口 覆膜支架 介入 

分 类 号：R735.1[医药卫生—肿瘤]