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目的:探讨采用自膨式覆膜支架封堵治疗食管胃吻合口-胸腔瘘的临床价值及其安全性。方法:6例经碘水造影检查证实的食管胃吻合口-胸腔瘘患者,植入覆膜支架后,持续性胸腔引流,抗感染治疗。结果:6例患者共植入7枚支架,支架展开良好,1枚移位。有效率6/7(86%)。置入覆膜支架后,既封堵了瘘口又解决了进食问题,控制了感染。结论:采用自膨式覆膜支架封堵治疗食管胃吻合口-胸腔瘘具有较高的临床价值及安全性。
Objective: To explore the clinical value and safety of self-expandable stent-graft in the treatment of esophagogastrostomy-thoracic fistula. Methods: Six patients with esophagogastrostomy and thoracic fistula confirmed by iodine-water contrast imaging were treated with continuous stent drainage and anti-infection after stent implantation. Results: A total of 7 stents were implanted in 6 patients with well-developed stent and 1 transposition. Effective 6/7 (86%). Into the stent graft, both blocked the fistula and solve the problem of feeding, control of the infection. Conclusion: Self-expandable stent-graft for the treatment of esophagogastrostomy-thoracic fistula has high clinical value and safety.