自膨式覆膜金属支架治疗食管癌术后颈部吻合口瘘  

Clinical application of self- expandable covered metal stent implantation in cervical anastomotic fistula patients with esophageal carcinoma

作　　者：庄聪文[1] 翁向群[1] 陈朝阳[1] 杨胜生[1] 曾志勇[1] 王雯[1] 李达周[1] 林宝泉[1] 

机构地区：[1]南京军区福州总医院心胸外科,福建福州350025

出　　处：《现代肿瘤医学》2016年第10期1549-1551,共3页Journal of Modern Oncology

摘　　要：目的:探讨自膨式覆膜金属支架在治疗食管癌术后颈部吻合口瘘中的应用价值。方法:在胃镜下对17例食管癌术后颈部吻合口瘘患者进行自膨式覆膜金属支架植入治疗。结果:所有患者一次植入成功,恢复正常饮食。1例支架脱落后重新植入。总治愈率为94.1%。全组术后均出现轻度的胸骨后疼痛不适或胃液反流的症状,所有患者均痊愈出院。结论:自膨式覆膜金属支架植入是内镜下治疗食管癌术后颈部吻合口瘘的简单安全有效的方法。Objective：To explore the application value of self- expandable covered metal stent implantation for the treatment of cervical anastomotic fistula after esophagectomy. Methods： Place self - expandable covered metal stent implantation in 17 patients with cervical anastomotic fistula after esophagectomy under endoscopy. Results： Stents were successfully placed in all patients at the first time. The patients returned to normal diets. 1 patient was reinserted after stent placement. The total cure rate was 94.1%. All patients had slight retrosternal pain and symptoms of reflowing. All patients discharged with cured anastomotic fistula. Conclusion：The treatment of cervical anastomotic fistula in patients with esophageal carcinoma by endoscopy with self- expandable covered metal stent implantation is simple, safe and effective.

关 键 词：食管癌 颈部吻合口瘘 自膨式覆膜金属支架 

分 类 号：R735.1[医药卫生—肿瘤] R730.5[医药卫生—临床医学]