[1]王刚刚,蒋利强,王云,等.置管引流联合医用胶治疗胸腔内吻合口瘘9例[J].介入放射学杂志,2020,29(04):402-405.
 WANG Ganggang,JIANG Liqiang,WANG Yun,et al.Catheter drainage combined with medical glue occlusion for the treatment of intrathoracic anastomotic fistulae: preliminary results in 9 patients[J].journal interventional radiology,2020,29(04):402-405.
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置管引流联合医用胶治疗胸腔内吻合口瘘9例()

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

卷:
29
期数:
2020年04
页码:
402-405
栏目:
临床研究
出版日期:
2020-05-08

文章信息/Info

Title:
Catheter drainage combined with medical glue occlusion for the treatment of intrathoracic anastomotic fistulae: preliminary results in 9 patients
作者:
王刚刚蒋利强王云任葆胜赵进委
Author(s):
WANG Ganggang JIANG Liqiang WANG Yun REN Baosheng ZHAO Jinwei.
Department of Interventional Radiology, Affiliated Changzhou No.2 People’s Hospital, Nanjing Medical University, Changzhou, Jiangsu Province 213000, China
关键词:
【关键词】 胸腔内吻合口瘘瘘腔引流医用胶
文献标志码:
A
摘要:
【摘要】 目的?评价DSA下置管引流联合医用胶封堵治疗胸腔内吻合口瘘的疗效。方法?回顾2016年8月至2018年5月食管癌或胃癌术后胸腔内吻合口瘘的患者9例,分析应用DSA下置管引流联合医用胶封堵治疗吻合口瘘的愈合情况。结果?9例患者均经口服泛影葡胺确诊,3例存在食管气管瘘,所有患者均经鼻成功置入三腔喂养管和引流管,经2~5 d引流后感染症状得到控制,2~3周后复查提示瘘口缩小、瘘道形成。引流量<10 mL/d行造影复查,瘘口<0.5 cm并有瘘道形成时,DSA下经4 F单弯导管使用医用胶与碘化油混合液0.5~2 mL封堵瘘道,所有患者均一次性成功封堵。封堵术后观察1周后正常进食,拔管后痊愈出院,瘘口平均愈合时间35 d。结论?DSA下置管引流联合医用胶治疗胸腔内吻合口瘘可以提高瘘口封堵成功率,有效促进瘘口愈合,为一种有益的尝试。

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备注/Memo

备注/Memo:
(收稿日期:2019-04-10)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2020-05-06