[1]张希全,刘长伟,董戈,等.金属内支架治疗恶性气道狭窄和胸腔胃—支气管瘘及支气管残端瘘[J].介入放射学杂志,2007,(06):390.
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金属内支架治疗恶性气道狭窄和胸腔胃 — 支气管瘘及支气管残端瘘()

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

卷:
期数:
2007年06期
页码:
390
栏目:
非血管介入
出版日期:
2007-06-15

文章信息/Info

Title:
Metal endostents in treating malignant bronchial stenosis,thoracostomach-carina fistula and bronchial remnant fistula after lobectomy
作者:
张希全刘长伟董戈
255300山东淄博解放军第148中心医院济南军区介入诊疗专科中心
Author(s):
ZHANG Xi-quanLIU Chang-weiDONG GePAN Xiao-linZHU WeiWANG Sheng-qiangGUO Feng.
Interventional Center,PLA148th Hospital,Zibo City,Shandong,255300,China
关键词:
气道狭窄胸腔胃主支气管瘘内支架
分类号:
R562.1
文献标志码:
A
摘要:
目的探讨不同规格的金属内支架治疗严重气管狭窄和胸腔胃-气道瘘及肺叶切除术后支气管残端瘘的疗效。方法根据影像资料显示气管、支气管狭窄段位置、长度,瘘口位置、大小、范围及程度,设计镍钛记忆合金丝编织型管状裸支架或覆膜支架,治疗气管狭窄26例;气管-支气管分叉状裸支架治疗气管-支气管复合狭窄8例;气管-支气管分叉状覆膜支架治疗胸腔胃-右支气管瘘5例,支气管残端瘘4例。支架均在DSA监视下经口腔置入病变部位。结果43例共用镍钛记忆合金网状管状裸支架24枚,覆膜支架7枚(5例支架置入后再狭窄,重新置入覆膜支架)。17枚气管-支气管分叉型支架,其中9枚覆膜。支架置入后呼吸困难、憋喘及呛咳等症状即刻缓解,碘水造影显示瘘口完全封堵,无对比剂溢出。症状改善率为100%。结论依据影像资料选择记忆合金网状内支架治疗严重气管狭窄、胸腔胃-气道瘘、支气管残端瘘,能迅即解除呼吸困难和封堵瘘口,疗效可靠,值得临床推广应用。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2006-10-15
更新日期/Last Update: 2007-06-15