食管癌性重度狭窄并食管-气道瘘的内支架置入治疗

Treating the severe esophageal malignant stenosis with esophagobronchial fistula by stent placement

目的 探讨食管癌性重度狭窄合并食管 气道瘘的内支架置入效果。方法 透视下 ,2 7例食管重度癌性狭窄合并食管 气道瘘患者置入食管覆膜内支架。结果 支架全部一次性置入成功 ,瘘口完全封堵 ,患者恢复正常进食 ,肺部感染得以控制。结论 内支架置入治疗食管癌性狭窄并食管 气道瘘损伤小、操作简单安全、并发症少、成功率高 。

Objective To observe the effect of treating the esophageal malignant stenosis with esophagobronchial fistula by stent placement. Methods Under fluoroscopic guidance, stents were placed in 27 patients with esophageal malignant stenosis accompanied by esophagobronchial fistulas. Results All cases had their stents placed successfully,with immediately sealed up of fistulas. The dysphagia of the patients got obvious improvement without swallowing difficulty any more and the inspiration pneumonia caused by fistula was undercontrol.Conclusions Stent placement is a safe, effective and rapid method to treat the esophageal malignant stenosis with esophagobronchial fistula.