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食管癌切除术后并发胸胃支气管瘘的诊断和治疗

Diagnosis and treatment of complicated thoracostomach-bronchi fistula after resection of esophageal carcinoma

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【作者】 杨增周李吉章

【Author】 YANG Zeng-zhou;LI Ji-zhang;Department of Thoracic Surgery,Henan Linzhou City People’s Hosptial;

【机构】 河南林州市人民医院胸外科河南林州市人民医院放射介入科

【摘要】 目的探讨食管癌切除术后并发胸胃支气管瘘的诊断和治疗。方法回顾性分析6例食管癌切除术后并发胸胃支气管瘘的临床资料。结果 1例患者死于严重肺部感染、呼吸衰竭;1例患者保守治疗后痊愈;4例患者经带膜支气管支架封堵气管瘘口痊愈。结论应用带膜支气管支架封堵气管瘘口,是一种安全、疗效可靠的方法 ,值得推广。

【Abstract】 Objective To investigate diagnosis and treatment of complicated thoracostomachbronchi fistula after resection of esophageal carcinoma. Methods Clinical data of 6 patients with complicated thoracostomach-bronchi fistula after resection of esophageal carcinoma were retrospectively analyzed. Results There were 1 death case due to severe pulmonary infection and respiratory failure, 1 healed case after conservative treatment, and 4 healed cases by membrane-covered bronchial stents in blocking tracheal fistula. Conclusion Implement of membrane-covered bronchial stents in blocking tracheal fistula is a safe method with creditable effect, and it is worth promoting.

  • 【文献出处】 中国实用医药 ,China Practical Medicine , 编辑部邮箱 ,2016年08期
  • 【分类号】R735.1
  • 【被引频次】1
  • 【下载频次】84
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