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目的总结和探讨食道覆膜支架在食道良恶性病变术后食管瘘中的应用价值。方法9例食道瘘患者均在X线下行覆膜支架置入,其中2例行临时覆膜支架置入,分别于4周及6周后取出。4例胸腔脓肿者同时行闭式引流。结果所有病例内支架均一次性置入成功,无术中并发症;8例瘘口立刻完全封闭,1例支架置入1周后再次出现吻合口胸腔瘘,经导管瘘口内注入ZT胶和蛋白胶各2 ml,瘘口闭合;所有患者均恢复正常饮食,感染得以控制。结论食道覆膜支架封堵食道术后各种食道瘘,安全有效、成功率高、无严重并发症,是治疗食道术后食管瘘的有效方法。
Objective To summarize and discuss the value of esophageal stent-graft in esophageal fistula after esophageal and benign esophageal disease. Methods Nine patients with esophageal fistula were treated with X-ray stent implantation. Two patients underwent temporary stent implantation and were removed at 4 and 6 weeks respectively. Four cases of pleural abscess were closed drainage at the same time. Results All the stents were successfully placed in one case with no intraoperative complications. Eight cases of fistula were completely closed at one time. One case of stent was reopened for anastomotic thoracic fistula one week later. The catheter was injected with ZT glue and protein Glue each 2 ml, fistula closed; all patients were restored to normal diet, infection can be controlled. Conclusion Esophageal stent-graft is a safe, effective and safe method for the closure of esophageal fistula after esophagectomy. It has a high success rate and no serious complication. It is an effective method to treat postoperative esophageal fistula.