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报告6例用带膜支架封闭食管-气管瘘的临床应用结果,旨在对有关技术问题做一探讨。6例均为男性,年龄42~56岁,其中食管疾所致者5例,肺癌所致者1例。所用带膜支架为Cook公司生产,透视引导下导入病变区,6例均获得成功。植入后经导管注入碘水证实瘘口被封闭,术后未再出现食后呛咳。随访时间4~12个月(3例仍在随访中),钡餐复查未见食管-气管瘘复发及支架移位。用带膜支架封闭食管-气管瘘具有创伤性小、操作技术简单及能使患者恢复正常饮食等优点,是一优良的姑息治疗万法。
Reported results of clinical use of membrane-eluting stents to close the esophagus-trachea fistula in 6 cases, aiming at a discussion of related technical issues. All 6 cases were male, aged 42-56 years, of which 5 cases were due to esophageal disease and 1 case was caused by lung cancer. Membrane stents used were manufactured by Cook and guided into the affected area under fluoroscopic guidance. All 6 cases were successful. After the implantation of iodine into the catheter, it was confirmed that the fistula was closed, and no more cough was observed after the operation. The follow-up time was 4 to 12 months (3 cases were still being followed up). There was no recurrence of esophageal fistula and stent dislocation after barium meal review. Sealing the esophagus-trachea fistula with a stent has the advantages of less trauma, simple technique, and enabling the patient to return to a normal diet. It is an excellent method of palliative care.