| 气管-主支气管分支型部分覆膜金属内支架在胸腔胃-支气管瘘中的临床应用 |
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| 引用本文： | 麻恒翔,韩新巍,吴刚,司江涛,任建庄.气管-主支气管分支型部分覆膜金属内支架在胸腔胃-支气管瘘中的临床应用[J].中国全科医学,2011,14(33). |
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| 作者姓名： | 麻恒翔 韩新巍 吴刚 司江涛 任建庄 |
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| 作者单位： | 郑州大学第一附属医院放射介入科,河南省郑州市,450052 |
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| 摘 要： | 目的探讨气管-主支气管分支型部分覆膜金属内支架置入气管治疗胸腔胃-支气管瘘的可行性及疗效。方法根据胸部多排螺旋CT﹙SCT﹚平扫结果及口服碘水食管造影显示瘘口(位于主支气管)的位置、大小、数目,设计定做气管-主支气管分支型部分覆膜金属内支架。根据测量瘘口近端距隆突距离(AB段)及瘘口远端距上叶支气管开口距离(CD段),将患者分为Ⅰ组(AB段或CD段的长度<5 mm,共4例)和Ⅱ组(AB段和CD段的长度≥5 mm,共10例)。X线透视下,14例患者14处瘘口置入15枚气管-主支气管分支型部分覆膜金属内支架。采用Fisher精确概率检验对比两组,以明确AB段及CD段对术后瘘口复发的影响。结果 14例患者内支架均置入成功,瘘口完全封闭,即刻消除呛咳症状,而4例在术后1个月内出现瘘口复发;对比分析Ⅰ组与Ⅱ组瘘口复发率,两组间瘘口复发率差异有统计学意义(P=0.04)。结论使用气管-主支气管分支型部分覆膜金属内支架能有效封堵胸腔胃-主支气管瘘,操作简单,安全有效。AB段与CD段的长度是影响支架置入后瘘口复发的重要因素。
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| 关 键 词： | 胸腔胃 支气管 瘘 支架 铰链形 |
Application of Covered Self-Expandable Hinged Metallic Stents in Thoracostomach Bronchial Fistula |
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| MA Heng-xiang,HAN Xin-wei,WU Gang,et al..Application of Covered Self-Expandable Hinged Metallic Stents in Thoracostomach Bronchial Fistula[J].Chinese General Practice,2011,14(33). |
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| Authors: | MA Heng-xiang HAN Xin-wei WU Gang |
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| Institution: | MA Heng-xiang,HAN Xin-wei,WU Gang,et al.Department of Interventional Radiology,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China |
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| Abstract: | Objective To explore the feasibility and clinical efficacy of hinge-shaped,partially covered,expandable metallic airway stent in the treatment of thoracostomach bronchial fistula.Methods Hinge-shaped,partially covered,expandable metallic airway stents were designed according to site,size and number of the fistulas(in the main bronchus) revealed by SCT and contrast agent-enhanced esophagograms.Fifteen hinge-shaped,partially covered,expandable metallic airway stent were placed in 14 patients with thoracostoma... |
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| Keywords: | Thoracostomach Bronchus Fistula Stent Hinged |
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