Wong K, Goldstraw P
Department of Thoracic Surgery, Royal Brompton Hospital, London, England.
Ann Thorac Surg. 1995 Jul;60(1):199-200. doi: 10.1016/s0003-4975(95)00036-4.
Malignant esophagorespiratory fistulas are distressing for patients who already have a limited prognosis. Palliative treatment by surgical bypass is often unjustified, and although the use of esophageal stents is more appropriate, their results are variable due to their inability to provide a tight seal. We have managed 2 patients with self-expanding covered esophageal stents, which appear to offer excellent prospects for palliation.
恶性食管气管瘘对于预后本就有限的患者来说是令人痛苦的。通过手术旁路进行姑息治疗往往不合理,虽然使用食管支架更为合适,但由于其无法提供紧密密封,治疗效果不一。我们用自膨式覆膜食管支架治疗了2例患者,这种支架似乎为姑息治疗提供了极佳的前景。