摘要
目的 应用带膜金属食管支架解决高位食管 气管瘘病人的进食呛咳和梗阻问题。方法 根据食管狭窄的程度、长度 ,瘘口部位及狭窄上缘距门齿、食管上端开口处的距离 ,确定支架长度和支架位置 ,由内镜直视或结合X线完成操作。结果 8例病人均 1次放置成功 ,患者呛咳及吞咽困难症状消失 ,均在 3~ 5d内能进普食 ,侧位胸片及内镜双重检查 ,支架位置准确 ,形状为两头呈喇叭样 ,中间狭窄部直径达 1 2~ 1 5cm。结论 内镜直视配合X线透视置入支架 ,是晚期食管癌合并食管
Objective Treating high position tracheo esophageal fistula using coated metallic stent Methods Ascertain the length and position of the stent to be used according to the extent and location of esophageal stenosis Introduce the stent by direct observation of endoscopy or combined with X ray Results Stent placement was successful in all 8 cases, the symptoms of choking and obstruction were relieved and all patients could take normal diet 3 to 5 days after the operation Using lateral chest film and endoscopy, the position of the stent was checked, both ends were flared and the diameter of the middle narrow part was 1 2 to 1 5 cm Conclusion Stenting under endoscopic and fluoroscopic guidance is a non invasive palliative treatment for patients suffering from late stage esophageal cancer complicated by tracheo esophageal fistula
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2000年第2期86-87,共2页
Chinese Journal of Radiology
关键词
气管食管瘘
介入性放射学
食管肿瘤
Tracheoesophageal fistula
Radiology, interventional
Esophageal neoplasms