[1]赵 纯,向述天,苏 伟,等.个体化金属覆膜支架治疗气道瘘的临床应用 [J].介入放射学杂志,2019,28(12):1185-1189.
 ZHAO Chun,XIANG Shutian,SU Wei,et al.Clinical application of individualized metal coated stent in the treatment of airway fistulae[J].journal interventional radiology,2019,28(12):1185-1189.
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个体化金属覆膜支架治疗气道瘘的临床应用
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
28
期数:
2019年12期
页码:
1185-1189
栏目:
临床研究
出版日期:
2019-12-28

文章信息/Info

Title:
Clinical application of individualized metal coated stent in the treatment of airway fistulae
作者:
赵 纯 向述天 苏 伟 曾俊仁 徐 松 毛崇文
Author(s):
ZHAO Chun XIANG Shutian SU Wei ZENG Junren XU Song MAO Chongwen.
Department of Radiology, Forth Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province 650032, China
关键词:
【关键词】 气道- 食管瘘支气管残端胸膜瘘气道- 纵隔瘘金属支架Y型
文献标志码:
A
摘要:
【摘要】 目的 探讨金属覆膜支架治疗良/恶性食管- 气管瘘、支气管- 胸膜瘘和气管- 纵隔瘘的疗效和安全性,并探讨气管和/或食管支架置入对气道瘘患者生存的影响因素。方法 回顾性分析32例在X线透视下放置个体化覆膜金属内支架的气道瘘患者。19例气管- 食管瘘中全麻下气道支架7例,食管支架置入12例,食管气管双支架6例。11例支气管- 胸膜瘘中主支气管残端瘘8例,置入大Y子弹头支架共8枚,叶支气管胸膜瘘3例,置入小Y子弹头支架共3枚,大Y支架2枚。2例气管- 纵隔瘘均置入直筒气管覆膜支架。结果 所有支架均一次性置入成功。患者呛咳、咯脓痰等症状即刻缓解,症状改善率近100%。恶性气道瘘患者的3个月、6个月、1年的生存率分别为50%、27%、14%,中位生存时间为4个月,平均生存期为178.8 d。良性气道瘘中1例支架置入后1周因肺部感染死亡,1例瘘口封堵不严,7例治愈。结论 金属覆膜支架是治疗良/恶性食管- 气管瘘、支气管- 胸膜瘘和气管- 纵隔瘘的一种简便、安全、有效的方法,可预期治愈良性气道瘘,有效延长恶性气道瘘患者生存期,并可显著改善良/恶性气道瘘患者生活质量。

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备注/Memo

备注/Memo:
(收稿日期:2018- 11- 29)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2019-12-27