中国肺癌杂志2011，Vol.14Issue(8)：679-684,6.DOI:10.3779/j.issn.1009-3419.2011.08.08
被膜金属支架在气道瘘治疗中的应用研究
Sealing of Airway Fistulas for Metallic Covered Z-type Stents
王洪武 1李冬妹 1张楠 1邹珩 1罗凌飞 1马洪明 1周云芝 1李晶 1梁素娟1
作者信息
- 1. 100028,北京,煤炭总医院肿瘤微创治疗中心
- 折叠
摘要
Abstract
Background and objective Treating airway fistulas, including esophagorespiratory fistulas (ERFs),bronchopleural fistulas (BPFs), and tracheomediastinal fistulas (TMFs), is difficult.The aim of this study is to evaluate the safety and clinical efiicacy of metallic covered Z-type stents (CZTS) for the treatment of airway fistulas through bronchoscopy or fluroscopy Methods Thirty-eight patients with fistulas between the esophagus, mediastina, and airways (32 ERFs, 5 BPFs,and 1 TMF) were retrospectively reviewed after treatment with covered metallic esophageal and airway stents.The fistulas were caused by esophageal (n=26), bronchogenic (n=11), and thyroid (n=1) carcinomas.Results Forty-six fistulas were found in 38 patients.The fistula size ranged from 0.5 cm to 7.0 cm.Forty airway covered metal stents (24 Y-type, 8 L-typ e, and 8 I-type)and 24 esophageal metal stents were placed.Complete responses to the sealing effects of fistulas were noted in 4.3％ of all the fistulas, 60.9％ showed complete clinical responses, 23.9％ showed partial responses, and 10.9％ showed no response.An effectivity rate of 89.1％ was observed, and the median survival duration of all patients was 5 months.Conclusion The use of CZTS appears to be safe and feasible for the palliative treatment of ERFs, BPFs, and TMFs.Airway stent placement is recommended for patients with ERF.In the event that airway stents fail, esophageal stents should be given.Airway bifurcation stents were observed to be especially suitable for the sealing of fistulas near the trachea carina.关键词
肺肿瘤/食管气管瘘/支气管胸膜瘘/金属支架Key words
Lung neoplasms/ Esophageorespiratory fistula/ Bronchopleural fistula/ Stents分类
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王洪武,李冬妹,张楠,邹珩,罗凌飞,马洪明,周云芝,李晶,梁素娟..被膜金属支架在气道瘘治疗中的应用研究[J].中国肺癌杂志,2011,14(8):679-684,6.
