覆膜支架封堵治疗食管胃吻合口-胸腔瘘的临床疗效  

Stent Treatment of Esophageal Anastomotic Leakage-Pleural Fistula

作　　者：刘佳鹏[1] 杨亚芳[1] 唐晓军[2] 徐杰[1] 刘斐[1] 周广宏[1] 

机构地区：[1]南京医科大学第二附属医院放射科,江苏南京210011 [2]东南大学附属第二医院放射科,江苏南京210003

出　　处：《现代生物医学进展》2011年第20期3875-3877,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨采用自膨式覆膜支架封堵治疗食管胃吻合口-胸腔瘘的临床价值及其安全性。方法:6例经碘水造影检查证实的食管胃吻合口-胸腔瘘患者,植入覆膜支架后,持续性胸腔引流,抗感染治疗。结果:6例患者共植入7枚支架,支架展开良好,1枚移位。有效率6/7(86%)。置入覆膜支架后,既封堵了瘘口又解决了进食问题,控制了感染。结论:采用自膨式覆膜支架封堵治疗食管胃吻合口-胸腔瘘具有较高的临床价值及安全性。Objective： To explore the feasibility and clinical effect of self-expandable stent treatment with gastroesophageal anastomotic closure - pleural fistula. Methods： Six cases of water esophagogastric anastomosis - pleural fistula patients confirmed by iodine angiography, were implanted with stent and then received, continuous thoracic drainage, anti-infective treatment. Results： Six patients were implanted with seven stents. All started well, but one shifted, with an effective rate of 6 / 7 （86%）. After stem implantation, not only the fistula were sealed, but also the food problem was solved and infection were controlled. Conclusions： It has a higher clinical value and safety using self-expandable stent treatment of gastroesophageal anastomotic closure - pleural fistula.

关 键 词：覆膜支架 食管胃吻合口瘘 胸腔瘘 

分 类 号：R735.1[医药卫生—肿瘤]