食管覆膜金属支架置入术治疗食管癌放疗后食管气管瘘  

Covered metallic stents for the treatment of esophagotracheal fistula after radiotherapy

作　　者：印于 倪才方[1] 李智[1] 邹建伟[1] 

机构地区：[1]苏州大学附属第一医院介入科,江苏苏州215000

出　　处：《医学影像学杂志》2015年第11期1961-1964,共4页Journal of Medical Imaging

摘　　要：目的 探讨食管覆膜金属支架置入术治疗放疗后食管气管瘘的临床疗效。方法 2008年~2013年本院食管癌放疗后食管气管瘘患者43例,其中21例行食道支架置入术,22例置入十二指肠营养管以营养支持,比较两组患者的生存质量,肺部感染控制有效率及生存期。结果支架组患者共有20例成功置入食管覆膜金属支架,技术成功率95.2%,营养管组患者均一次性置入成功,技术成功率100%。治疗后支架组患者的生活质量和肺部感染控制有效率明显优于营养管组（P〈0.05）,术后随访,支架组患者平均存活3.4个月（1~9个月）,营养管组患者平均存活1.7个月（1~5个月）,两组患者生存期差异有统计学意义（P〈0.05）。结论 食管覆膜金属支架置入术对于食管癌放疗后的食管气管瘘患者是一种有效的姑息性治疗方法,能明显缓解患者症状,提高患者生活质量,有效控制肺部感染,延长患者生存期。Objective To explore the clinical efficacy of esophageal covered metallic stents in the treatment of esophagotracheal fistula after radiotherapy.Methods From 2008 to 2013,43 patients with esophagotracheal fistula after radiotherapy were admitted to the first affiliated hospital of Soochow University,of whom 21 patients received covered metallic stents implantation（group S）,22 patients received nasogastric feeding tube placement（group N）.The survival quality,the effective rate of lung infection control and survival time of the two groups were compared.Results Stents implantation was successfully accomplished in 20 patients,with a technical success rate of 95.2%.Nasogastric feeding tube placement was successfully accomplished in all 22 patients,with a technical success rate of 100%.The survival quality and the effective rate of lung infection control of the patients in group S were significantly better than those of the patients in group N（P 0.05）.The survival time of group S was 3.4months while 1.7months in gruop N（P 0.05）.Conclusion Esophageal covered metallic stents placement is an effective palliative treatment for esophagotracheal fistula after radiotherapy,which can obviously relieve the symptoms,improve the quality of life,and prolong the survival time.

关 键 词：食管癌 食管气管瘘 介入放射学 食管覆膜金属支架 

分 类 号：R735.1[医药卫生—肿瘤] R815[医药卫生—临床医学]