癌性食管瘘的被膜金属内支架的植入治疗

Cancerous Esophageal Fistula: Treatment of Placement with Covered Self expanding Metallic Stent

目的 探讨被膜内支架置入术治疗癌性食管瘘的效果。方法 2 5例癌性食管瘘 ,瘘口直径小于 5mm者13例 ,瘘口直径大于 5mm小于 10mm者 7例 ,瘘口直径大于 10mm者 5例。 2 5例病人置入被膜内支架 2 6枚 ,所有病例均在透视下完成。结果 2 6枚被膜内支架置入一次成功 ,瘘口全部堵塞 ,根治了食物外漏或溢入气管。 12例感染得到了治愈 ,6例得到控制 ,7例无效。结论 瘘口直径小于 10mm的癌性食管瘘被膜内支架置入术治疗效果好。

Purpose To treat the esophageal fistula that was the main cause of death in patients with esophagus and lung carcinoma, the placement of the stent was studied. Methods 25 patients with cancerous esophageal fistula, the diameter of fistula less than 5 mm 13 cases, more than 5 mm but less than 10 mm 7 cases, more than 10 mm 5 cases.Under fluoroscopic guidance, 26 stents were successfully implanted in all the 25 patients with esophageal fistula. Result 12 patients with inhalation pneumonia and mediastinum inflammation that caused by fistula were recovered, 6 patients were under control, 7 patients had no effect. Conclusion The result indicated that the treatment with the placement of the covered self expanding stent is simple, safe and effective for the most patients with aphagia pneumonia and mediastinum inflammation due to esophageal fistula, especial those diameter less than 10 mm. [