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目的 :探讨加膜食管支架对食管癌并发食管 气管瘘的实用价值。方法 :X线引导下为 18例患者置入 18个加膜支架 ,并在其中 6个支架加膜部分的外周包裹了一薄层明胶海绵 ,以防支架与食管壁间形成不规则腔隙。同时对置入装置进行了改良。结果 :支架置入顺利 ,术中无严重并发症发生。术后呛咳即刻消失 ,吞咽困难明显缓解 ,由术前平均3 .4级降至 0 .9级。结论 :加膜支架治疗食管癌并发食管 气管瘘安全有效 ,改良加膜支架有效地防止了支架与食管壁之间不规则腔隙的形成
Objective: To explore the practical value of esophageal carcinoma esophageal fistula with esophageal stent. METHODS: Twenty-eight patients underwent 18-stent implantation under X-ray guidance and a thin layer of gelatin sponge was wrapped around the outer portion of the six stent-coated sections to prevent the formation of irregular cavities between the stent and the esophageal wall . At the same time into the device has been improved. Results: The stent was well inserted without serious complications during operation. Choking cough immediately disappeared, dysphagia was relieved, from an average of preoperative 3.4 to 0.9. Conclusion: The stent-graft is safe and effective for the treatment of esophageal carcinoma complicated with esophageal tracheal fistula. The improved stent-graft can effectively prevent the formation of irregular cavities between the stent and esophageal wall