双倒Y型气道覆膜内支架治疗胸腔胃-右主支气管瘘的疗效观察  

Efficacy of the double inverted Y-shaped airway covered stent therapy thoracostomach-right main bronchus fistula

作　　者：李宗明[1] 路慧彬[1] 任克伟[1] 韩新巍[1] 吴刚[1] 焦德超[1] LI Zongming LU Huibin REN Kewei HAN Xinwei WU Gang JIAO Dechao(Department of Radiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052,Chin)

机构地区：[1]郑州大学第一附属医院介入科,河南郑州450052

出　　处：《实用放射学杂志》2016年第10期1586-1589,共4页Journal of Practical Radiology

基　　金：国家高技术发展计划（863计划）课题（2015AA020301）。

摘　　要：目的：评估双倒 Y 型气道覆膜内支架置入治疗胸腔胃-右主支气管瘘的疗效。方法回顾性分析15例胸腔胃-右主支气管瘘，所有患者均因食管癌行食管切除并胸腔胃食管吻合，术后有放射治疗史，瘘口均临近右上叶支气管开口。根据患者气管支气管正常管径的直径和长度，个体化设计出大小2枚倒 Y 型气道覆膜内支架，并于 X 线透视下置入支架，观察患者瘘口封堵情况，临床症状改善情况。结果所有胸腔胃-右主支气管瘘患者行双倒 Y 型气道覆膜内支架置入治疗，操作均一次性成功，瘘口封堵完全，能顺利进食，卧位呛咳症状消失，未出现气道出血、气胸等并发症。结论双倒 Y 型气道覆膜内支架置入治疗胸腔胃-右主支气管瘘技术可行，疗效肯定。Objective To study the efficacy of double inverted Y-shaped airway covered stent for patients with thoracostomach-right main bronchus fistula.Methods Fifteen cases with thoracostomach-right main bronchus fistula were investigated retrospectively.All patients had accepted esophageal resection and thoracostomach esophagus anastomosis,as well as radiation therapy after surgery due to esophageal cancer. All fistulas located close to the opening of right upper lobe bronchus.According to the normal tracheobronchial diameter and length of patients,two inverted Y-shaped airway covered stents were designed individually.Stenting was performed under X-ray,and the situation of fistula and clinical symptoms improvement were investigated.Results The double inverted Y-shaped airway covered stents were implanted and fistulas were closed successfully.All patients could take normal diet,and the supine cough symptoms disappeared, without complications such as airway bleeding and pneumothorax after stenting.Conclusion The stenting of double inverted Y-shaped airway covered stent may be an effective,feasible and safe treatment for thoracostomach-right main bronchus fistula.

关 键 词：胸腔胃 右主支气管 瘘 Y型 气道支架 

分 类 号：R57[医药卫生—消化系统] R562.2[医药卫生—内科学]