[1]周 政,邹建伟,朱晓黎,等.全覆膜支架治疗不同原因食管瘘的有效性及安全性分析[J].介入放射学杂志,2011,(05):403.
 ZHOU Zheng,ZOU Jian-wei,ZHU Xiao-li,et al.Covered stent placement for the treatment of esophageal fistulae caused by different disorders: an analysis of its effectiveness and safety[J].journal interventional radiology,2011,(05):403.
点击复制

全覆膜支架治疗不同原因食管瘘的有效性及安全性分析()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2011年05期
页码:
403
栏目:
临床研究
出版日期:
2011-05-30

文章信息/Info

Title:
Covered stent placement for the treatment of esophageal fistulae caused by different disorders: an analysis of its effectiveness and safety
作者:
周 政 邹建伟 朱晓黎 刘一之
215006  苏州大学附属第一医院介入科
Author(s):

ZHOU Zheng ZOU Jian-wei ZHU Xiao-li LIU Yi-zhi.

Department of Interventional Radiology, the First Affiliated Hospital of Soochow University, Suzhou 215006, China
关键词:
食管 覆膜支架
分类号:
R655.4
文献标志码:
摘要:
目的  探讨全覆膜食管支架治疗不同原因引起食管瘘的可行性及安全性。方法 经食管碘水造影确诊的18例食管瘘患者,在DSA下行全覆膜支架置入, 4 ~ 6周后取出支架,并行食管造影检查。结果  所有患者食管内支架均一次性置入,术中无并发症。16例患者支架取出后复查显示瘘口完全封闭,2例支架取出后复查显示瘘口仍然存在,其中1例再次置入覆膜支架4 ~ 6周,取出后造影显示瘘口闭合。1例患者死于肺部感染;另有1例患者因消化道大出血而死亡。其他患者经治疗后恢复正常饮食,无严重并发症。结论  应用覆膜支架封堵由多种病变引起的食管瘘安全有效、成功率较高、严重并发症少见,是治疗食管瘘的有效方法。

参考文献/References:

[1] 崔 永, 王天佑, 王化生, 等. 自发性食管破裂的诊断与治疗[J]. 中华外科杂志, 2005, 43: 404 - 405.
[2] 戈 烽, Ming Liu, 李 琦. 基础胸外科学[M]. 北京:中国协和出版社, 2003: 188 - 255.
[3] 赵 辉, 倪才方. 覆膜自膨式金属内支架治疗食管瘘[J]. 介入放射学杂志, 2006, 15: 112 - 113.
[4] Alanezi K, Urschel JD. Mortality secondary to esophageal anastomotic leak[J]. Ann Thorac Cardiovasc Surg, 2004, 10: 71 - 75.
[5] White RE, Mungatana C, Topazian M. Expandable stents for iatrogenic perforation of esophageal malignancies[J]. J Gastrointest Surg, 2003, 7: 715 - 772.
[6] Siersema PD. Treatment of esophageal perforations and anastomo-tic leaks: the endoscopist is stepping into the arena.Gastrointest Endosc, 2005, 61: 897 - 900.
[7] 韩新巍, 吴 刚, 李 冻, 等. 食管纵隔瘘: 食管覆膜支架与经鼻经食管引流管置入治疗[J]. 介入放射学杂志, 2005, 14: 167 - 170.
[8] Fischer A, Thomusch O, Benz S, et al. Nonoperative treatment of 15 benign esophageal perforations with self-expandable covered metal stents[J]. Ann Thorac Surg, 2006, 81: 467 - 472.
[9] Grifn SM, Lamb PJ, Shenne J, et al. Spontaneous rupture of the oesophagus[J]. Br J Surg, 2008, 95: 1115 - 1120.
[10] 赵淑彩. 食道支架置入术及其并发症原因分析和预防对策[J].医学理论与实践, 2006, 19: 542.
[11] Saxon RR, Barton RE, Rosch J. Complications of oesophageal stenting and balloondilatation[J]. Semin Interv Radiol, 1994,11: 276 - 282.
[12] Peters JH, Craanen ME, van der Peet DL, et al. Self-expanding metal stents for the treatment of intrathoracic esophageal anastomotic leaks following esophagectomy[J]. Am J Gastroen-terol, 2006, 101:1393 - 1395.

相似文献/References:

[1]张庆凡,陆雪华.自膨式金属内支架治疗良恶性食管狭窄[J].介入放射学杂志,1995,(04):204.
[2]程英升,尚克中,庄奇新,等.食管良性狭窄介入治疗方法探讨和再狭窄原因分析[J].介入放射学杂志,1998,(02):88.
[3]朱汉洲,郑铨,王兴华.食管胃吻合口瘘的内支架治疗[J].介入放射学杂志,1999,(02):37.
[4]刘作勤,唐军,徐宝亮,等.创伤性颈部动静脉瘘的诊治(附四例报告)[J].介入放射学杂志,1999,(03):11.
[5]张小华.动脉内灌注化疗致动脉、胆管瘘一例[J].介入放射学杂志,1999,(04):197.
[6]王德仁,马如钧,马积斌,等.血管内栓塞治疗外伤性颈内动脉海绵窦瘘二例[J].介入放射学杂志,2000,(01):59.
[7]周子奎,陈宝菊,林长平,等.食管支架植入术后并发症及相关因素的探讨[J].介入放射学杂志,2006,(02):114.
 ZHOU Zi-kui,CHEN Bao-ju,LIN Chang-ping.Study of the complications after esophageal stent placement and the correlative factors[J].journal interventional radiology,2006,(05):114.
[8]刘文贵,梁定,郭山峰,等.自膨式覆膜支架在食管、十二指肠恶性狭窄及瘘的临床应用[J].介入放射学杂志,2007,(06):419.
 LIU Wen-gui,LIANG Ding,GUO Shan-feng,et al.Clinical application of covered self-expending stent for malignant esophageal and duodenal strictures or fistulas[J].journal interventional radiology,2007,(05):419.
[9]钱钧,姜宏,段佩炎.食管内支架重置术一例[J].介入放射学杂志,2009,(12):960.
 QIAN Jun,JIANG Hong,DUAN Peiyan.Replacing of esophageal stent :report of one case[J].journal interventional radiology,2009,(05):960.
[10]旷小春,程英升,朱悦琦,等.新型暂时性贲门支架治疗犬贲门失弛缓症的实验研究[J].介入放射学杂志,2010,(08):642.
 KUANG Xiaochun,CHENG Yingsheng,ZHU Yueqi,et al.A newly-designed temporary cardia stent for the treatment of achalasia:an experimental study in canine models[J].journal interventional radiology,2010,(05):642.

备注/Memo

备注/Memo:
收稿日期:20110215
更新日期/Last Update: 2011-05-30