食管内支架留置术治疗恶性食管-支气管瘘

目的：评价用带膜食管支架治疗恶性食管－支气管瘘的临床应用价值。材料与方法：共３例食管－支气管瘘病人，其中食管癌所致２例，另外１例为肺癌所致。所用２个支架均为金属自膨式Ｚ型支架，直径１８ｍｍ，长度１０－１２ｃｍ，支架置入术在Ｘ监视下进行。结果：２个支架植入均获成功。术后立即食管吞钡造影显示瘘口被有效封闭，进食再无呛咳出现，随访时间最长１例已达６个月。随访期间，患均进食正常，部分体重增加，未出现瘘口

Esophageal Stent Implantation for Malignant Esophageal fistula

To evaluate the clinical value of esophageal stent implantation for malignant esophagob-ronchial fistula,Materials : 3 patients with esophagobronchial fistula were treated. They re-sulted from 2 cases of esophageal carcinoma and 1 case of case of bronchial carcinoma 3 covered self-expandablemetalic Z-stent were used with 18mm in diameter and 10 ~ 12cm in length. Implantation was performed un-der fluorosopic guidance Results: 3 stents were placed successfully. The fistulae were immediately sealed upand comfirmed by barium meal examination. Irritable cough disappeared while eating in 3 patients. Thelongest period of follow-up was 6 months . 3 patients could digest solid or semi-solid food. There were noevidence of recurrence of fistula. The positions and patency of stents is normal Conclusions: Esophageal stent implantation is a useful, palliation method for malignant esophagobronchial fistula and procedure iseasy, safe to perform without remarkable complication.