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目的 :探讨覆膜内支架置入气道治疗胸腔胃 -气道瘘的可行性与疗效。方法 :根据胸腔胃 -气道瘘口的位置、大小、数目选择内支架。透视下 ,6例患者 8处瘘在气道内置入 8枚气道覆膜内支架封堵瘘口。结果 :6例内支架均置入成功 ,瘘口完全封闭 ,即刻消除呛咳症状。 5例有效控制肺部感染 ,患者生活质量得以提高 ;1例支架置入 5d后支架移位导致呼吸衰竭而死亡。随访 4～ 1 5个月 ,3例死于机体衰竭 ,1例死于呼吸衰竭 ,1例正常生活至今。结论 :气道覆膜内支架能有效封堵胸腔胃 -气道瘘 ,操作简单、安全、近期疗效可靠。
Objective: To explore the feasibility and efficacy of stent-incorporated airway for the treatment of thoracic gastric airway fistula. Methods: According to the position, size, and number of fistulas, the internal stent was selected. Under fluoroscopy, 6 patients had 8 airway stents inside the airway and 8 airway stents were used to block the fistula. Results: All 6 stents were successfully implanted. The fistula was completely closed and the symptoms of coughing were eliminated immediately. Five cases of pulmonary infection were effectively controlled, and the quality of life of the patients was improved. In 1 case, stent displacement caused respiratory failure and died after 5 days. Follow-up 4 to 15 months, 3 cases died of physical failure, 1 died of respiratory failure, 1 case of normal life so far. Conclusion: The endotracheal stent can effectively seal the thoracic stomach-airway fistula. The operation is simple and safe, and the short-term efficacy is reliable.