食管内带膜金属支架置入术治疗食管呼吸道瘘

Esophagorespiratory fistula:Treatment with self-expanding covered stent

目的采用带膜金属支架治疗食管呼吸道瘘(ERF),并评价其疗效。方法对13例ERF患者在X线监视下行经口带膜金属支架食管内置入术,平均年龄60.2(31-73)岁,术前平均禁食17.3(6-41)天,12例伴肺部感染。结果术后ERF均立即阻断,全部恢复进食,10例肺部感染得到有效控制,随访平均生存33.3(1-178)周。结论带膜金属支架食管内置入术能安全有效地治疗ERF,疗效满意。

Objective To evaluate self-expanding covered stent in the management of esophagorespiratory fistula.Methods A self-expanding esophageal covered stent was implanted under fluoroscopic guidance in 13 patients with esophagorespiratory fistula.In this series patients aged 31-73 years (60.2 years in average). All patients had a pre-procedure fast of 6-41 days (17.3 days in average),in which 12 patients had pulmonary infecton.Results All fistulas were excluded and swallowing function was restored. No stend-related complication was observed. Pulmonary infection was managed in 10 patients out of 13. The mean surivived time was 33.3 wks (1-178 wks)in follow-up.Condusion Covered self-expanting stent implantation is a safe and effective treatment of ERF.