摘要
目的探讨带膜支架及生物蛋白胶治疗食管癌术后吻合口瘘的临床效果。方法14例患者,其中吻合口瘘合并狭窄1例,单纯吻合口狭窄11例,单纯吻合口瘘2例,植入进口支架4个,国产支架8个,对于单纯吻合口瘘患者全部采用生物蛋白胶进行粘堵。结果11例单纯食管狭窄患者支架植入后,进食情况明显改善,1例食管狭窄合并食管瘘患者,支架植入后瘘口立即消失。2例单纯吻合口瘘口少于3mm一次性粘堵成功,一例瘘口大于5mm患者分两次粘堵成功。结论食管内支架植入及生物蛋白胶是缓解食管癌术后吻合口狭窄、修补食管吻合口瘘的一种良好方法,其简单、安全、近期疗效显著,且无严重的并发症。
Objective To investigate the therapeutic results of interventional treatment with endaluminal stent and Fibrin fibrin sealant for postoperative anastomotic fistula and stenosis in patients with primary esophageal carcinoma. Methods Of 14 patients with cancerous esophageal fistula and esophageal stenosis, 11 patients had simple esophageal anastomotic stenosis. 2 patients had simple esophageal anastomotic fistula. 12 stents were successfully impanted in 12 patients. Results Succssful stent placement was achieved in 12 patients. Dysphagia was relieved in most pa tients, Esophageal fistula disappeared in 3 patients. Conclusion Implantation of endoluminal stents and fibrin sealing is a simple, safe, effective palliative treatment for anastomotic fistula and stenosis in patients with primary esophageal carcinoma, without serious complications.
出处
《临床和实验医学杂志》
2007年第6期44-45,共2页
Journal of Clinical and Experimental Medicine
关键词
食管肿瘤
食管狭窄
食管瘘
放射学
介入性
内支架
蛋白胶
Esophageal neoplasms
Esophageal stenosis
Eoesophageal fistula
Radiology
Interventional
Endoluminal stents
Fibrin sealant
