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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。
Objective To investigate the clinical efficacy of endoscopic stent placement of metal stent in the treatment of esophageal tracheal fistula. Methods Twenty-one patients with pathologically diagnosed esophageal cancer in our hospital from 2005 to 2010 were enrolled in this study. The esophageal-tracheal fistula was confirmed by gastroscopy or esophagectomy. The length of the esophagus and the location of the stent were determined according to the extent, location, Followed by esophageal stenosis and stent implantation. Results Twenty-one patients were successfully treated with covered metal stent. Patients with cough, swallowing obstruction and pulmonary infection and other symptoms were significantly relieved, the average survival after follow-up 9 months (2 to 14 months). Conclusion Metal stent implantation is a safe and effective method for esophageal cancer esophageal fistula. It can significantly relieve the symptoms of patients, prolong the survival time and improve the quality of life of patients.