[1]尹国文,徐清宇,白向君,等.透视引导下经鼻置入瘘腔引流管治疗食管癌术后食管胃吻合口瘘[J].介入放射学杂志,2012,(02):140-143.
 YIN Guo-wen,XU Qing-yu,BAI Xiang-jun,et al.Fluoroscopically-guided transnasal tube insertion for the treatment of gastroesophageal anastomotic leak occurred after surgery for esophageal carcinoma[J].journal interventional radiology,2012,(02):140-143.
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透视引导下经鼻置入瘘腔引流管治疗食管癌术后食管胃吻合口瘘 ()

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

卷:
期数:
2012年02期
页码:
140-143
栏目:
非血管介入
出版日期:
2012-02-28

文章信息/Info

Title:
Fluoroscopically-guided transnasal tube insertion for the treatment of gastroesophageal anastomotic leak occurred after surgery for esophageal carcinoma
作者:
 尹国文 徐清宇 白向君 陈世晞 张 勤 冯纯伟 蒋 峰 俞明峰 吴建达 杜 婕
210009 南京 江苏省肿瘤医院介入科,胸外科
Author(s):
YIN Guo-wen XU Qing-yu BAI Xiang-jun CHEN Shi-xi ZHANG Qin FENG Chun-wei JIANG Feng YU Ming-feng WU Jian-da DU Jie.
Department of Interventional Radiology, Cancer Hospital of Jiangsu Province, Nanjing, Jiangsu Province 210009, China
关键词:
 【关键词】 食管癌 食管胃吻合口瘘 瘘腔引流 数字减影血管造影 透视引导
文献标志码:
A
摘要:
【摘要】 目的 回顾性分析并评价瘘腔引流管在治疗食管癌术后食管胃吻合口瘘中的价值。方法   2004年5月- 2010年9月共诊治食管贲门癌术后食管胃吻合口瘘78例。32例患者(Ⅰ组)采用胸腔引流管为主的“三管”法传统治疗,即透视下放置胃肠减压管,空肠营养管,术后常规放置胸腔引流管。46例患者(Ⅱ组)采用透视引导下经鼻瘘腔负压引流管置入为主的新“三管”法介入治疗,即透视引导下放置胃肠减压管,空肠营养管,瘘腔负压引流管。胸腔引流管在瘘腔引流管置放成功后即拔除。结果   所有患者均在DSA透视引导下一次置管成功,胸腔引流管在Ⅰ组患者术后常规置放,位置准确。Ⅰ组24例存活患者的瘘腔平均治疗时间为(54.6 ± 7.9) d;死亡8例,病死率为25.0%。而Ⅱ组44例存活患者的瘘腔平均治疗时间为(31.0 ± 8.1) d;死亡2例,病死率为4.3%。两组患者的瘘腔治疗时间比较差异有统计学意义(P < 0.01)。结论   DSA透视引导下留置胃肠减压管,空肠营养管,瘘腔引流管治疗食管癌术后胸内食管胃吻合口瘘安全,有效,经济。经鼻置入瘘腔引流管治疗食管癌术后食管胃吻合口瘘可明显缩短患者住院治疗时间,降低住院病死率。

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备注/Memo

备注/Memo:
(收稿日期:2011-09-23)
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