【摘要】 目的探讨胃镜置入覆膜金属支架治疗食管癌食管气管瘘的临床疗效。方法 2005～2010年本院病理确诊的食管癌患者21例,经胃镜或食管造影证实合并食管-气管瘘,根据食管狭窄的程度、位置、长度及瘘口部位,确定支架长度和支架放置位置,随后行食管狭窄扩张术及覆膜支架置入术。结果 21例患者均成功置入覆膜金属支架。患者呛咳、吞咽梗阻及肺部感染等症状明显缓解,术后随访平均存活9个月(2～14个月)。结论覆膜金属支架置入术是治疗食管癌食管气管瘘的一种安全有效地方法,能明显缓解患者症状,延长患者生存时间,提高患者生活质量。更多还原

【Abstract】 Objective To explore with the upper coated metallic stents on the treatment of esophagela fistula.Methods During 2005 to 2010,21cases pathologically dignosed as esophageal cancer confirmed with oesophgorespiratary fistula were enrolled.According to the esophagus stenosis degree,position,length and fistula part,the stent length and placed position was determined.Then we expandeal the narrow esophagus and place the mesh alloy stents.Results 21 patients were placed mesh alloy stents successfully.The symptoms of cough,swallowing obstruction and lung infection were significantly relieved.Conclusion Mesh alloy stents placement is a safe and effective methad to treat oesophagus cancer merging esophagorespiratory fistula.It can effectively relieve the symptoms,prolonging the survival time and improve the quality of life.更多还原