切换至 "中华医学电子期刊资源库"

中华肺部疾病杂志(电子版) ›› 2026, Vol. 19 ›› Issue (01) : 177 -180. doi: 10.3877/cma.j.issn.1674-6902.2026.01.030

病例报告

食管气管瘘合并窦性心动过缓气管支架再置入成功一例
曹钰洁, 顾兴, 赵延军, 王瑞璇, 王博荣, 李建英()   
  1. 710100 西安,西北大学附属西安市胸科医院呼吸与危重症医学科
  • 收稿日期:2025-04-21 出版日期:2026-02-25
  • 通信作者: 李建英
  • 基金资助:
    陕西省重点项目-关键核心技术攻关(2024SF2-GJHX-64); 陕西省西安市科技计划重点项目(2024YXYJ0004); 陕西省西安市卫生健康委员会科研项目(2025yb07)

A successful case of replacement of stent in esophagotracheal fistula combined with sinus ventilation tube

Yujie Cao, Xing Gu, Yanjun Zhao   

  • Received:2025-04-21 Published:2026-02-25
引用本文:

曹钰洁, 顾兴, 赵延军, 王瑞璇, 王博荣, 李建英. 食管气管瘘合并窦性心动过缓气管支架再置入成功一例[J/OL]. 中华肺部疾病杂志(电子版), 2026, 19(01): 177-180.

Yujie Cao, Xing Gu, Yanjun Zhao. A successful case of replacement of stent in esophagotracheal fistula combined with sinus ventilation tube[J/OL]. Chinese Journal of Lung Diseases(Electronic Edition), 2026, 19(01): 177-180.

图1 2024年11月25日胸部CT,双肺阴影,右肺上叶空洞影内结节,部分支气管扩张并管腔内黏液栓形成;食管入口处食管气管瘘形成
图2 气道三维重建,气管上段食管瘘,气管下段、双侧主气管、右中间段腔附壁痰栓
图3 电子胃镜,食管可见巨痰口,黏膜未见异常
图4 电子支气管镜检查注:距声门70 mm处可见膜部一长度约18 mm瘘口
图5 气管食管支架置入术。图A为支架上缘;图B为支架;图C为支架下缘
图6 2025年1月6日胸部CT,双肺阴影较前吸收
1
中华医学会呼吸病学分会介入学组. 中国大气道疾病介入诊疗专家共识(2024年版)[J]. 中华结核和呼吸杂志2024, 47(8): 601-620.
2
Wang Y, Li J, Zhang H. Risk factors for tracheal stent migration in patients with malignant tracheoesophageal fistula[J]. Journal of Interventional Pulmonology, 2023, 34(2): 112-118.
3
陈新谦,金有豫,汤光. 新编药物学(第18版)[M]. 北京:人民卫生出版社,2022: 186-189.
4
Liu X, Wang Z, Chen L. Perioperative management of symptomatic bradycardia during bronchoscopic interventions: a single-center retrospective analysis[J]. Annals of Thoracic Medicine, 2024, 19(1): 23-28.
5
Travis W D, Colby T V, Corrin B, et al. World Health Organization classification of tumours of the lung, pleura, thymus and heart[M]. Lyon: IARC Press, 2021: 124-127.
6
中华医学会心血管病学分会. 中国窦性心动过缓与窦性停搏诊断和治疗专家共识(2023年)[J]. 中华心血管病杂志2023, 51(5): 421-429.
7
Kim HS, Khemasuwan D, Diaz-Mendoza J, et al. Management of tracheo-oesophageal fistula in adults[J]. Eur Respir Rev, 2020, 29(158): 200094.
8
Drucker NA, Cox CS. Adult presentation of congenital tracheooesophageal fistula treated as asthma and recurrent respiratory infections[J]. Lancet, 2023, 402(10419): 2326-2327.
9
Santosham R. Management of acquired benign tracheoesophageal fistulae[J].Thorac Surg Clin, 2018, 28(3): 385-392.
10
Chandra TS, Sadhana O, Sameera G, et al. Management of cervical tracheo-esophageal fistula by lateral cervical approach: Our experience’[J]. Indian J Otolaryngol Head Neck Surg, 2022, 74(Suppl 3): 6039-6044.
11
Chaddha U, Hogarth DK, Murgu S. Perspective on airway stenting in inoper-able patients with tracheoesophageal fistula after curative-intent treatment for esophageal cancer[J]. J Thorac Dis, 2019, 11(5): 2165-2174.
12
Bertrand T, Mercier O, Leymarie N, et al. Surgical cervicothoracic-flap repair of neoesophagus-airway fistula after esophagectomy for esophageal cancer:a retrospective cohort study[J]. JTCVS Tech, 2023, 23: 123-131.
13
Ortiz-Comino RM, Morales A, López-Lisbona R, et al. Silicone stent versus fully covered metallic stent in malignant central airway stenosis[J]. Ann Thorac Surg, 2021, 111(1): 283-289.
14
Kim SP, Lee J, Lee SK, et al. Surgical treatment outcomes of acquired benign tracheoesophageal fistula: a literature review[J]. J Chest Surg, 2021, 54(3): 206-213.
15
Izumi A, Yoshio T, Sasaki T, et al. Efficacy and safety of self-expandable metallic stent placement for malignant esophageal fistula[J]. J Clin Med, 2023, 12(18): 5859.
16
Nehme F, Ge PS, Coronel E. Management of aerodigestive fistulas: the gastroenterologist′s perspective, a narrative review[J]. Mediastinum, 2023, 7: 34.
17
Wang H, Li W, Wang Z, et al. Chinese expert consensus on interventional diagnosis and management of acquired digestive-respiratory tract fistulas (second edition)[J]. Clin Respir J, 2023, 17(5): 343-356.
18
Wang H, Zhang N, Li D, et al. Airway covered metallic stent based on different fistula location and size in malignant tracheoesophageal fistula[J]. Am J Med Sci, 2015, 350(5): 364-368.
19
Koch M, Vasconcelos CraveiroA, Mantsopoulos K, et al. Analysis of surgical treatment strategy and outcome factors in persistent tracheoesophageal fistula: a critical analysis of own cases and review of the literature[J]. Eur Rev Med Pharmacol Sci, 2022, 26(1): 257-269.
20
Zheng B, Zeng T, Yang H, et al. The clinical characteristics, treatments and prognosis of post-esophagectomy airway fistula:a multicenter cohort study[J]. Transl Lung Cancer Res, 2022, 11(3): 331-341.
21
Sökücü SN, Özdemir C, Tural ÖnürS, et al. Comparison of silicon and metallic bifurcated stents in patients with malignant airway lesions[J]. Clin Respir J, 2020, 14(3): 198-204.
22
Flannery A, Daneshvar C, Dutau H, et al. The art of rigid bronchoscopy and airway stenting[J]. Clin Chest Med, 2018, 39(1): 149-167.
23
Avasarala SK, Freitag L, Mehta AC. Metallic endobronchial stents: A contem-porary resurrection[J]. Chest, 2019, 155: 1246-1259.
24
Jin L, Li Y. Bronchoscopic interventions for bronchopleural fistulas[J]. Ther Adv Respir Dis, 2023, 17: 175346662311645.
25
Guibert N, Saka H, Dutau H. Airway stenting: Technological advancements and its role in interventional pulmonology[J]. Respirology, 2020, 25(9): 953-962.
26
Chang CH, Lin J. Management of aero-digestive fistulas in adults: the bron-Choscopist′s perspective[J]. Mediastinum, 2023, 7: 33.
27
Furukawa K, Ishida J, Yamaguchi G, et al. The role of airway stent placement in the management of tracheobronchial stenosis caused by inoperable advanced lung cancer[J]. Surg Today, 2010, 40(4): 315-320.
[1] 李广鑫, 权慧娟, 高志娟, 李良, 王肖君, 曹玉庆. 腹腔镜急诊切除与支架置入限期切除治疗梗阻性结直肠癌的临床效果比较[J/OL]. 中华普外科手术学杂志(电子版), 2026, 20(02): 142-145.
[2] 杜升兰, 张刘平, 肖燕玲. 三种手术策略在结直肠癌并肠梗阻中的临床观察[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(03): 294-297.
[3] 谷冰冰, 宋韦, 范博士, 王萍, 马静, 张静文, 周娜, 李盼盼. 肺康复训练管理在微创食管癌切除术后并发肺部感染患者中的临床应用观察[J/OL]. 中华肺部疾病杂志(电子版), 2025, 18(06): 949-954.
[4] 陈瑞骥, 陈思禹, 任红, 杨博, 刘阳. 食管癌根治术后吻合口瘘的研究进展[J/OL]. 中华腔镜外科杂志(电子版), 2025, 18(06): 379-384.
[5] 韩沁颖, 高磊, 何普毅, 王云鹏, 王转芳, 何丽娟, 刘犇, 许博, 胡继科, 蒲唯高, 陈昊. ERCP 联合SpyGlass 内镜下射频消融+光动力疗法+胆道支架置入综合治疗在晚期胆管癌中的应用[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(02): 262-269.
[6] 王秋艳, 杨爱民, 程春, 周洋. 基于食管癌术后吻合口瘘危险因素建立风险预测列线图模型及临床决策曲线分析[J/OL]. 中华消化病与影像杂志(电子版), 2025, 15(03): 229-234.
[7] 赵顺, 韩小阳, 赵亭亭. 术前营养状态及术后早期全身免疫炎症指数、C 反应蛋白/白蛋白比值、NLR 与食管癌术后吻合口瘘的相关性[J/OL]. 中华消化病与影像杂志(电子版), 2025, 15(03): 235-239.
[8] 赵洁, 曹文芳. 食管癌超声特征与NLR、LMR、NMR水平的相关性及对颈部Ⅳ区淋巴结转移风险的评估价值[J/OL]. 中华消化病与影像杂志(电子版), 2025, 15(02): 130-134.
[9] 中华医学会消化内镜学分会, 世界内镜组织超级微创委员会. 超级微创手术治疗消化道肿瘤的临床实践指南(2025年,北京)[J/OL]. 中华胃肠内镜电子杂志, 2025, 12(03): 147-176.
[10] 潘赛波, 韩佳, 吴明, 于振涛. 食管癌患者围手术期肠内营养置管及通路管理专家共识[J/OL]. 中华胸部外科电子杂志, 2026, 13(01): 1-13.
[11] 黄靖凯, 刘龙高, 陈奕璋, 王炜东, 徐彬洋, 曾毅, 张鑫, 陈寄养, 黄思淇, 罗孔嘉, 杨弘. BOPPPS模式联合多媒体在食管癌微创外科教学中的实践与效果评估[J/OL]. 中华胸部外科电子杂志, 2026, 13(01): 56-63.
[12] 杨新宇, 李斌, 华荣, 何毅, 李志刚. 机器人辅助经颈双侧充气式纵隔镜联合腹腔镜食管切除术的初步经验[J/OL]. 中华胸部外科电子杂志, 2025, 12(04): 222-227.
[13] 刘轶炜, 党艳, 张齐, 马宇航, 张仁泉. CT影像组学在食管癌TNM分期中应用的研究进展[J/OL]. 中华胸部外科电子杂志, 2025, 12(04): 228-234.
[14] 中国食管疾病学会, 广东省胸部疾病学会. 非插管麻醉下食管癌根治术(McKeown)的专家指导意见(2025)[J/OL]. 中华胸部外科电子杂志, 2025, 12(03): 119-129.
[15] 许一鸣, 范雪源, 李世浩, 徐一帆, 李博文, 耿振洋, 刘亚飞, 叶贯超, 李峰, 黄岚, 齐宇. 人工智能驱动食管癌新辅助精准治疗[J/OL]. 中华胸部外科电子杂志, 2025, 12(02): 96-104.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?