• 摘要
  • | |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • | |
    摘要:

    摘要:目的??评估由枣核引起的食管穿孔患者进行非外科手术治疗的安全性与有效性。方法 回顾性分析该院2017年4月-2019年3月收治的由枣核引起的6例食管穿孔患者的临床资料,均进行非外科手术治疗,其中3例穿孔部位位于食管颈段,1例位于胸段,2例位于腹段。3例食管颈部穿孔留置胃管并应用内科保守治疗,1例胸段穿孔应用钛夹闭合,2例行覆膜支架置入术。结果 6例患者均恢复良好,未见有明显不良后果。结论 由枣核引起的食管早期穿孔,非外科手术治疗也是一种可以考虑的临床治疗策略。

    网友评论
    网友评论
    分享到微博
    发 布
    参考文献
    [1] SEPESI B, RAYMOND D P, PETERS J H. Esophageal perforation: surgical, endoscopic and medical management strategies[J]. Curr Opin Gastroenterol, 2010, 26(4): 379-383.
    [2] 余周军, 卢放根, 刘展. 全覆膜支架在医源性食管穿孔治疗中的应用[J]. 中国内镜杂志, 2012, 18(1): 63-65.
    [2] YU Z J, LU F G, LIU Z. Application of covered stent for iatrogenic esophageal perforation[J]. China Journal of Endoscopy, 2012, 18(1): 63-65. Chinese
    [3] 张朝柱, 何明霞, 冯亚辉. 无痛胃镜下钛夹治疗食管异物致食管穿孔[J]. 临床误诊误治, 2010, 23(9): 891.
    [3] ZHANG C Z, HE M X, FENG Y H. Titanium clip under painless gastroscopy treatment for esophageal perforation caused by foreign[J]. Clinical Misdiagnosis & Mistherapy, 2010, 23(9): 891. Chinese
    [4] 冯志强, 聂玉强. 内镜下应用钛夹治疗良性食管穿孔汇总研究[J]. 中华消化内镜杂志, 2010, 27(2): 99-100.
    [4] FENG Z Q, NIE Y Q. Study on titanium clip under endoscopy treatment for benign perforation of esophagus[J]. Chinese Journal of Digestive Endoscopy, 2010, 27(2): 99-100. Chinese
    [5] S?REIDE J A, VISTE A. Esophageal perforation: diagnostic work-up and clinical decision-making in the first 24 hours[J]. Scand J Trauma Resusc Emerg Med, 2011, 19(1): 66.
    [6] 程波, 汪天虎, 张力平, 等. 食管穿孔的诊断与外科治疗[J]. 重庆医科大学学报, 2006, 31(3): 443-445.
    [6] CHENG B, WANG T H, ZHANG L P, et al. Diagnosis and surgical treatment of esphageal perforation[J]. Journal of Chongqing Medical University, 2006, 31(3): 443-445. Chinese
    [7] QADEER M A, DUMOT J A, VARGO J J, et al. Endoscopic clips for closing esophageal perforations: case report and pooled analysis[J]. Gastrointest Endosc, 2007, 66(3): 605-611.
    [8] 杨小云, 丁进, 钟芸诗. 食管穿孔内镜处理研究进展[J]. 中国现代医生, 2017, 55(13): 165-168.
    [8] YANG X Y, DING J, ZHONG Y S. Research advances of endoscopic treatment of esophageal perforation[J]. China Modern Doctor, 2017, 55(13): 165-168. Chinese
    [9] 陈胜, 李士亭, 方友平, 等. 食管异物伴穿孔的外科治疗[J]. 重庆医学, 2011, 40(28): 2882-2884.
    [9] CHEN S, LI S T, FANG Y P, et al. Surgical treatment of esophageal foreign with perforation[J]. Chongqing Medicine, 2011, 40(28): 2882-2884. Chinese
    [10] 陆世春, 石维平, 金卫国, 等. 早期外科干预在食管穿孔治疗中的应用[J]. 中国医师进修杂志, 2013, 36(23): 45-47.
    [10] LU S C, SHI W P, JIN W G, et al. Early surgical intervention for esophageal perforation[J]. Chinese Journal of Postgraduates of Medicine, 2013, 36(23): 45-47. Chinese
    [11] FREEMAN R K, ASCIOTI A J, WOZNIAK T C. Postoperative esophageal leak management with the Polyflex esophageal stent[J]. J Thorac Cardiovasc Surg, 2007, 133(2): 333-338.
    [12] BRAMS A, BULOIS P, MAUNOURY V, et al. Treatment of thoracic anastomotic leaks after oesophagectomy with self-expanding and extractible covered stent[J]. Gastroenterol Clin Biol, 2008, 32(1 Pt. 1): 41-45.
    [13] LANGER F B, WENZL E, PRAGER G, et al. Management of postoperative esophageal leaks with the Polyflex self-expanding covered plastic stent[J]. Ann Thorac Surg, 2005, 79(2): 398-403.
    [14] PASPATIS G A, DUMONCEAU J M, BARTHET M, et al. Diagnosis and management of iatrogenic endoscopic perforations: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement[J]. Endoscopy, 2014, 46(8): 693-711.
    引证文献
引用本文

王小艾,秦光明,李娜,景顺萍,刘静,丁小龙,张新华,庞祖明,魏义胜.非外科手术治疗枣核引起的食管穿孔[J].中国内镜杂志,2020,26(3):86-88

复制
分享
文章指标
  • 点击次数:186
  • 下载次数: 461
历史
  • 在线发布日期: 2021-02-04
二维码
中国内镜杂志声明
关闭