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目的探讨放置内支架治疗食管贲门癌术后胸内吻合口瘘的疗效及临床分析。方法 2010年8月至2012年8月期间,本院诊治的20例食管贲门癌术后胸内吻合口瘘患者,均应用国产覆膜支架置入治疗,对其临床资料进行回顾性分析。结果 20例患者均一次性置入成功,术后患者出现不同程度的胸骨后不适,3～7天自行缓解,复查钡餐摄片显示支架没有出现移位,漏口消失,饮食正常。结论放置内支架治疗食管贲门癌术后胸内吻合口瘘疗效显著,明显改善了患者的预后质量,值得临床推广。
Objective To investigate the curative effect and clinical analysis of endovascular stent placement for intrathoracic anastomotic leakage after esophageal and cardiac resections. Methods From August 2010 to August 2012, 20 patients with thoracic anastomotic leakage who underwent esophagogastric cardia resection were treated with domestic stent graft. The clinical data of the patients were retrospectively analyzed. Results All the 20 patients were successfully treated with one-time implantation. Postoperative patients had different degrees of post-sternal discomfort and were relieved at 3-7 days. Barium meal examination showed no displacement of the stent, disappeared and the diet was normal. Conclusion The treatment of esophageal and cardial carcinoma with intrathoracic stent placement has a significant effect on the intrathoracic anastomotic fistula, which has significantly improved the quality of prognosis of the patients and deserved clinical promotion.