用带膜支架治疗食管—气管瘘

报告6例用带膜支架封闭食管-气管瘘的临床应用结果，旨在对有关技术问题做一探讨。6例均为男性，年龄42～56岁，其中食管疾所致者5例，肺癌所致者1例。所用带膜支架为Cook公司生产，透视引导下导入病变区，6例均获得成功。植入后经导管注入碘水证实瘘口被封闭，术后未再出现食后呛咳。随访时间4～12个月（3例仍在随访中），钡餐复查未见食管-气管瘘复发及支架移位。用带膜支架封闭食管-气管瘘具有创伤性小、操作技术简单及能使患者恢复正常饮食等优点，是一优良的姑息治疗万法。

Covered Metallic Stent in the Management of Malignant Esophagotracheal Fistulae

Implantation of plastic coated stent was applied in 6 cases of malignant esophagotracheal fistulae. They were all male patients with esophageal cancer in o and bronchial carcinoma in one. Age of the patients ranged 42 to 56 years.All the patients received the barbed polyethylene-covered Glanturco stent produced by Cook Company .Implantation was performed under fluoroscopic guidance. All patients had successful stent placement . The fistulae were immediately sealed up and confirmed by injecting non-ionic contrast medium through a catheter. Clinical symptoms of broncho -tracheal aspiration were relieved in all patients. The follow up period was from 4 to 12 months ,and none of the patients has recurrence of the aspiration symptoms .No stent displacement or leakage of contrast medium was noted at follow -up barium meal exanmiantion .It is indicated that plastic coated stent implantation procedure is safe .rapid and effective in palliation of malignant esophagotracheal fistulae.