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覆膜支架封堵治疗食管胃吻合口-胸腔瘘的临床疗效
引用本文:刘佳鹏,杨亚芳,唐晓军,徐杰,刘斐,周广宏.覆膜支架封堵治疗食管胃吻合口-胸腔瘘的临床疗效[J].生物磁学,2011(20):3875-3877.
作者姓名:刘佳鹏  杨亚芳  唐晓军  徐杰  刘斐  周广宏
作者单位:[1]南京医科大学第二附属医院放射科,江苏南京210011 [2]东南大学附属第二医院放射科,江苏南京210003
摘    要:目的:探讨采用自膨式覆膜支架封堵治疗食管胃吻合口-胸腔瘘的,临床价值及其安全性。方法:6例经碘水造影检查证实的食管胃吻合口-胸腔瘘患者,植入覆膜支架后,持续性胸腔引流,抗感染治疗。结果:6例患者共植入7枚支架,支架展开良好,1枚移位。有效率6/7(86%)。置入覆膜支架后,既封堵了瘘口又解决了进食问题,控制了感染。结论:采用自膨式覆膜支架封堵治疗食管胃吻合口-胸腔瘘具有较高的临床价值及安全性。

关 键 词:覆膜支架  食管胃吻合口瘘  胸腔瘘

Stent Treatment of Esophageal Anastomotic Leakage - Pleural Fistula
LIU Jia-peng,YANG Ya-fang,TANG Xiao-jun,XU Yie,LIU Fei,ZHOU Guang-hong.Stent Treatment of Esophageal Anastomotic Leakage - Pleural Fistula[J].Biomagnetism,2011(20):3875-3877.
Authors:LIU Jia-peng  YANG Ya-fang  TANG Xiao-jun  XU Yie  LIU Fei  ZHOU Guang-hong
Institution:1Second Affiliated Hospital of Nanjing Medical University, Department of Radiology, Jiangsu, Nanjing,20011; 2 Second Affiliated Hospital of Southeast University, Department of Radiology, Jiangsu, Nanjing, 210003)
Abstract:Objective: To explore the feasibility and clinical effect of self-expandable stent treatment with gastroesophageal anastomotic closure - pleural fistula. Methods: Six cases of water esophagogastric anastomosis - pleural fistula patients confirmed by iodine angiography, were implanted with stent and then received, continuous thoracic drainage, anti-infective treatment. Results: Six patients were implanted with seven stents. All started well, but one shifted, with an effective rate of 6 / 7 (86%). After stem implantation, not only the fistula were sealed, but also the food problem was solved and infection were controlled. Conclusions: It has a higher clinical value and safety using self-expandable stent treatment of gastroesophageal anastomotic closure - pleural fistula.
Keywords:Stent  Esophageal anastomotic leakage  Pleural fistula
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