摘要
目的探讨Sigma覆膜支架治疗食管气管瘘的优点和使用方法。方法对采用Sigma支架治疗的22例食管气管瘘患者的临床资料进行分析。其中，食管癌17例，食管良性病5例，病史4d-2个月。放置1个气管支架5例，气管食管双支架15例，3个支架2例；直管形气管支架18例，钝角L形气管支架3例，Y形气管支架1例。支架置入分为介入法和内镜法两种。结果22例成功放置41个支架，无手术死亡。除了1例良性患者迁延不愈、1年后行手术治疗，1例气管支架封堵不完全，再次放置食管支架外，其余均一次治疗成功，2-4d后可正常经口进食。成功率91％（20／22），未完全成功率9％（2／22）。结论食管和（或）气管放置Sigma支架可有效封堵食管气管瘘，患者术后均可正常进食。此支架优点是可以回收并能有效防止继发食管气管瘘。
Objective To evaluate the application of Sigma stent in treatment for esophago-tracheal fistula. Methods Clinical data of 22 cases of esophagu-tracheal fistula treated with Sigma stent were retrospectively analyzed, including 17 cases of esophageal cancer and 5 cases of benign esophageal diseases, with length of 4 days to 2 months. One single stent was placed in 5 cases, two stents （both in trachea and esophagus each） in 15 cases, and three stents in 2 cases, and 18 cases with tube-type trachea stent, 3 with obtuse angle L-type and 1 with Y-type. Placement of stent was by interventional method or/and endoscopy. Results Forty-one stents were successfully placed in 22 patients with no death in the procedure. And, all patients with fistula were healed successfully and could have normal eating 2 to 4 days after operation, except 1 patient who received a tracheal stent inserted first, but an esophageal stent inserted again due to incomplete seal of the fistula and another benign case who received surgical operation 1 year after stent placement due to protracted unsealed fistula, with an overall cure rate of 91% （20/22）. Conclusions Placement of Sigma stent in the esophagus or/and trachea could effectively heal esophago-tracheal fistula. All the patients can eat normally after the procedure. Stent can be recycled and formation of secondary esophago-tracheal fistula can be prevented effectively with such procedure.
出处
《中华全科医师杂志》
2008年第9期619-621,共3页
Chinese Journal of General Practitioners
关键词
气管食管瘘
支架
食管
气管
Tracheoesophageal fistula
Stents
Esophagus
Trachea
