新型消化道瘘封堵器在胸腔胃气管瘘中的临床应用初探(含视频)  

Clinical application research of a novel gastrointestinal occluder device for endoscopic closure of gastrobronchial fistula(with video)

作　　者：李璐蓉 王继旺 朱昌 桑怀鸣 王云[1] 张伟锋[1] 李君兰 张国新[1] Li Lurong;Wang Jiwang;Zhuu Chang;Sang Huaiming;Wang Yun;Zhang Weifeng;Li Junlan;Zhang Guoxin(Department of Gastroenterology,The First Afiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Department of Respiratory and Critical Care Medicine,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院消化内科,210029 [2]南京医科大学第一附属医院呼吸与危重症医学科,210029

出　　处：《中华消化内镜杂志》2021年第11期921-924,共4页Chinese Journal of Digestive Endoscopy

基　　金：国家自然科学基金面上项目(81970499);江苏省医学领军人才与创新团队(CXTDA2017033)。

摘　　要：初探一种新型消化道瘘封堵器治疗胸腔胃气管瘘的有效性和安全性。回顾性分析2020年7-8月在南京医科大学第一附属医院消化内科接受新型消化道瘘封堵器治疗的5例胸腔胃气管瘘患者的病例资料。观察患者总手术时间、封堵时间、术中和术后并发症情况、术后住院时间和患者满意度。定期随访,术后1个月进行短期封堵疗效评估。5例患者均为男性,年龄58~69岁,瘘病程3~16个月,瘘口长径0.3~1.0 cm。5例患者均成功置入新型消化道瘘封堵器,总手术时间38~88 min,封堵时间8~24 min。术后住院时间3~5 d,患者满意度评分均为10分。术中、术后均未发生严重并发症。术后1个月,4例患者瘘口完全封堵;1例患者进食呛咳症状完全缓解,但因严重肺部感染继发多脏器功能衰竭于术后1个月死亡。临床应用该新型消化道瘘封堵器治疗胸腔胃气管瘘是有效和相对安全的。To evaluate the therapeutic effectiveness and safely of a novel gastrointestinal occluder device for gastrobronchial fistula.Data of 5 patients diagnosed as having gastrobronchial fistula who received treatment by a novel gastrointestinal oeeluder device at the First Affiliated Hospital of Nanjing Medical University from July to August 2020 were retrospectively analyzed.The total operation time,occluding time,intraoperative and postoperative complications,postoperative hospital stay and patients'satisfaction were reviewed.Regular follow-up was conducted,and the short-term curative effect of occluding was evaluated 1 month after operation.All patients were males with age of 58-69 years.The course of fistula ranged 3-16 months and the diameter ranged 0.3-1.0 cm.All 5 patients achieved technical success with operation time of 38-88 minutes and oceluding time of 8-24 minutes.The postoperative hospital stay ranged 3-5 days and the patients'satisfaction score was 10.No severe complications occurred during or after operation.One month after endoscopie therapy,fistula was completely oceluded in 4 patients.One patient died due to severe pulmonary infection and muliple organ failure although the bucking symptom after drinking and eating recovered before.Endoscopic closure of gastrointestinal fistula by means of the novel gastrointestinal oceluder device is safe and effective.

关 键 词：消化系统瘘 胸腔胃气管瘘 新型消化道瘘封堵器 内镜治疗 

分 类 号：R656.6[医药卫生—外科学]