计算机断层扫描引导下的纵隔引流治疗医源性食管穿孔

Computed tomography-guided mediastinal drainage for iatrogenic perforation of the esophagus.

作者信息

Miyashita Masao, Nomura Tsutomu, Makino Hiroshi, Hagiwara Nobutoshi, Takahashi Ken, Sakata Yoshinori, Nagata Kazuhiro, Iwakiri Katsuhiko, Tajima Hiroyuki, Tajiri Takashi

机构信息

Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine, Tokyo, Japan.

出版信息

J Nippon Med Sch. 2006 Dec;73(6):337-40. doi: 10.1272/jnms.73.337.

DOI:10.1272/jnms.73.337

PMID:17220585

Abstract

We report a case of perforation of the esophagus associated with mediastinitis and pneumomediastinum during endoscopic treatment. The patient was successfully treated by means of nonsurgical computed tomography-guided mediastinal drainage. Esophagoscopy demonstrated a scar on the 14th day at the perforation site. This nonsurgical treatment with computed tomography-guided mediastinal drainage is proposed as a less invasive treatment for iatrogenic perforation of the esophagus.

摘要

我们报告一例在内镜治疗期间发生的伴有纵隔炎和纵隔气肿的食管穿孔病例。该患者通过非手术的计算机断层扫描引导下纵隔引流成功治愈。食管镜检查显示穿孔部位在第14天出现瘢痕。这种计算机断层扫描引导下纵隔引流的非手术治疗方法被提议作为医源性食管穿孔的一种侵入性较小的治疗方法。