摘要
目的:设计一种治疗各种病理因素导致的气管隆突部(气管下端、左支气管起始部和右主气管起始部的三管结合区)狭窄、隆突瘘的倒Y型一体化支架及其输送系统。方法:根据气管隆突部解剖结构和病变特点,设计倒Y型一体化金属自膨胀式支架及其输送系统,1例支气管肺癌致隆突狭窄、1例癌性胸腔胃-隆突瘘各置入部分覆膜气管一体化倒Y型支架1枚。结果:1例支架一次性置入成功,1例一次置入失败后再次置入成功。患者呼吸困难立即得到有效缓解,瘘口得到彻底封堵,呛咳、感染等症状得到有效控制。结论:气管倒Y型一体化支架可以解除气管隆突部位狭窄、彻底封堵隆突部瘘口,技术操作可行、安全,费用低廉,近期效果确切。
Objective：To design the inverted Y shaped endotrachea stent and transfer system and study the treatment for the stenosis, fistula of tracheal carinal induced by deferent pathologic fators. Methods： The inverted Y shaped endotrachea stent and transfer system were designed according to the anatomic structure and pathological features. Two stems was inserted respectively into the trachea for managing dyspnea induced by the bronchiogenic carcinoma and thoracostomach- tracheal carinal fistula. Results：Stems were placed successfully, not only improving the breathing effectively but also completing the closure of the ora of tracheal carinal fistula with further vanishing of the choke after drinking and eating,infection togather with the inhalation pneumonia. Conclusion：The inverted Y shaped endotrachea stent is enable to remove the stenosis of tracheal carinal and seal off the fistula thoroughly. The procedure is feasible,safe and economic,the therapic effection is reliable in the short term.
出处
《放射学实践》
2007年第10期1098-1100,共3页
Radiologic Practice
关键词
气管疾病
支架
放射学
介入性
Tracheal diseases
Stent
Radiology,interventional
