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医用生物蛋白胶胃镜下封堵治疗食管瘘的临床研究 被引量:4

Occlusion of Esophageal Fistula with Medicinal Albumin Gel under Gastroscope
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摘要 目的:探讨医用生物蛋白胶封堵治疗食管瘘的方法和效果。方法:对近5年11例碘剂造影和/或胃镜检查证实为食管-呼吸道瘘和食管-颈部瘘的患者,应用医用生物蛋白胶经胃镜进行封堵瘘口治疗。结果:11例患者胃镜下应用医用生物蛋白胶封堵瘘口均获成功,其中9例经1次封堵后窦道完全愈合,2例经2次封堵后窦道完全愈合。平均住院时间为27d,平均费用为2.45万元。随访3~6个月无复发,无不良并发症。结论:与常规保守治疗比较,胃镜下医用生物蛋白胶封堵食管瘘口,可减少住院时间,降低住院费用。 OBJECTIVE: To explore the method and efficacy of occlusion with medicinal albumin gel for esophageal fistula. METHODS: Over the recent 5 years, a total of 11 patients with esophagus - respiratory fistula or esophagus- neck fistula confirmed by iodine imaging and / or gastroscopy were occluded with medicinal albumin gel under endoscope. RESULTS: The occlusion with medicinal albumin gel for esophageal fistula was successful in all the 11 cases, and 9 out of 11 were completely healed after one time occlusion treatment and the other 2 cases were completely healed after the second occlusion treatment. The average hospital stay was 27 days and the average cost was 24, 500 yuan. There was no recurrence after fol- low - up of 3 to 6 months, nor was there any adverse complication. CONCLUSION : Compared to the conventional conservative treatment, occlusion with medicinal albumin gel for esophageal fistula under endoscope can reduce the length of hospital stay and the cost of hospitalization.
出处 《中国药房》 CAS CSCD 北大核心 2008年第35期2773-2774,共2页 China Pharmacy
关键词 医用生物蛋白胶 食管瘘 胃镜 封堵 Medicinal albumin gel Esophageal fistula Gastroscopy Occlusion
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