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目的总结腔内封堵技术治疗食管癌术后吻合口瘘的应用经验。方法回顾性分析2006年8月至2011年12月上海中医药大学附属曙光医院应用腔内封堵技术治疗食管癌术后吻合口瘘15例患者的临床资料,其中男12例、女3例,年龄47~73岁。分析其临床效果。结果窦道造影证实于瘘口附近有窦道形成者,瘘口直径<0.5 cm者10例一次堵漏成功;瘘口直径大于0.5 cm者1例,堵漏二次后成功。瘘口附近窦道形成不明显者4例,堵漏均失败。结论腔内封堵技术治疗食管癌术后吻合口瘘有相当的临床效果。瘘口附近有窦道形成是堵瘘成功的关键。
Objective To summarize the experience of application of endovascular occlusion in the treatment of postoperative esophagogastric fistula. Methods The clinical data of 15 patients with esophagogastrostomy anastomotic fistula treated by endovascular occlusion of Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from August 2006 to December 2011 were retrospectively analyzed. There were 12 males and 3 females, Age 47 ~ 73 years old. Analyze its clinical effect. The results of sinus angiography confirmed the formation of sinus in the vicinity of the fistula, fistula diameter <0.5 cm in 10 cases of a plugging success; fistula diameter greater than 0.5 cm in 1 case, plugging the second successful. Fistula near the sinus formation was not obvious in 4 cases, plugging failed. Conclusions Endovascular occlusion has a considerable clinical effect in treating postoperative anastomotic leakage of esophageal cancer. Fistula near the sinus formation is the key to successful fistula closure.