基础医学与临床 ›› 2015, Vol. 35 ›› Issue (7): 968-971.

• 临床园地 • 上一篇    下一篇

食道双支架置入治疗食管气管瘘临床初探

马洪明1,邹珩1,张洁莉2,蔡存良1,张楠3,王洪武3,罗凌飞1   

  1. 1. 煤炭总医院
    2. 煤炭总医院肿瘤内科
    3. 北京煤炭总医院
  • 收稿日期:2015-04-27 修回日期:2015-05-19 出版日期:2015-07-05 发布日期:2015-06-23
  • 通讯作者: 罗凌飞 E-mail:luolingfei2015@sina.com

The effectiveness and safety of double self-expanding metal stents for patients with esophagorespiratory fistula

  • Received:2015-04-27 Revised:2015-05-19 Online:2015-07-05 Published:2015-06-23

摘要: 目的 探讨全裸金属支架联合被膜金属支架(双支架置入)封堵食管气管瘘的疗效和安全性。方法 对10例食管气管瘘患者,在X线透视下向食管内放置双支架。结果 10例患者的原发病均为肺癌,共有10个瘘口,口径0.5~5.0 cm。每例均成功置入裸支架及被膜金属支架各1枚,术中及术后未出现严重并发症。治疗效果:临床完全缓解7例 (70%),部分缓解3例(30%),有效率为100%。结论:全裸金属支架联合被膜金属支架(双支架置入)是一个安全有效的治疗手段。

关键词: 肺肿瘤, 食管气管瘘, 金属支架

Abstract: Objective: Evaluate the efficacy and safety of double stents (bare metal stent and covered metal stent) for esophagorespiratory fistulas (ERFs). Methods Clinical data from 10 patients receiving double stents treatment were retrospectively reviewed. Results A total of ten ERFs in 10 patients were included. The fistulas, all caused by lung cancers, had diameters of 0.5 to 5.0 cm. Double stents were successfully placed. Fistula was completely sealed in 70% of patients and other 30% patients showed a partial response. The total efficacy rate was 100%. Conclusion A bare metal stent followed by a covered metal stent( double stents), appears to be a safe and feasible regime for ERFs.

Key words: Lung neoplasms, Esophageorespiratory fistula, Stents

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