Saeki M, Nosaka S, Kaji T, Yamaguchi T, Miyakawa K, Tsukamoto H, Ashida H, Ishikawa T
Department of Radiology, St. Marianna University School of Medicine.
Nihon Igaku Hoshasen Gakkai Zasshi. 1990 Nov 25;50(11):1442-4.
Fistula formation is one of complications after surgery. Additional surgical intervention is recommended when fistula does not respond to conservative therapy. Eight patients with fistula were treated by using a baby feeding tube or double lumen angiographic catheter with fibrin glue. All the fistulas except one were successfully treated; 6 with complete occlusion and one with decreased discharge from fistula. It is emphasized that two deep fistulas could be occluded by using angiographic technique. Our preliminary result suggests fibrin occlusion therapy of fistulas is a safe and useful procedure, and an alternative to surgery for non-curative fistula.
瘘管形成是手术后的并发症之一。当瘘管对保守治疗无反应时，建议进行额外的手术干预。8例瘘管患者采用婴儿喂养管或带纤维蛋白胶的双腔血管造影导管进行治疗。除1例瘘管外，其余所有瘘管均成功治愈；6例完全闭塞，1例瘘管排出量减少。需要强调的是，使用血管造影技术可闭塞两条深部瘘管。我们的初步结果表明，纤维蛋白闭塞疗法治疗瘘管是一种安全有效的方法，是无法治愈的瘘管手术治疗的替代方案。
