【摘要】 目的:探讨自膨式国产金属食管覆膜支架治疗各种食管瘘的方法,常见并发症的预防与处理。方法:采用自膨式国产金属食管覆膜支架,在X线监视下或胃直视下用推送器经口置入食管病变部位,共治疗食管瘘患者57例,其中食管-气管瘘18例,食管-支气管瘘25例,食管-纵隔瘘9例,食管-纵隔-支气管瘘5例。结果:57例患者均顺利完成支架置入,即时堵瘘率为100%,未出现技术问题及严重并发症。所有患者均达到了改善进食、提高生活质量的治疗效果。结论:自膨式国产食管覆膜支架适用于治疗各种食管瘘,操作简便、疗效安全,且价格低廉,是一项值得推广的技术。更多还原

【Abstract】 Objective:To study the efficiency of homemade covered expandable metallic stent in the treatmnet of esophageal fistula.Methods:A total of 57 patients with various types of esophageal fistula due to esophageal carcinoma or crooh disease were treated with homenade covered expandable metallic stent.Results:Stent placement was technically successful and the fistulas were colsed in all patients,with no immediate procedural complication.The long-term clinical results were satisfactory and the patients could swallow without difficult.Conclusion:The treatment of esophageal fistula with homemade expandable metallic stents is safe,good in effect and has less complication.更多还原