文献类型：期刊文献

中文题名：内镜下真空辅助闭合治疗食管瘘的研究进展

英文题名：Research progress of endoscopic vacuum-assisted closure therapy for esophageal fistulas

作者：聂洪鑫[1,2];刘洪刚[3];王兵[1];杜进臣[2];张斌[2];孟辉[3]

第一作者：聂洪鑫

机构：[1]甘肃中医药大学研究生院,兰州730000;[2]中国人民解放军联勤保障部队第940医院心胸外科,兰州730000;[3]遵义医科大学第五附属医院心胸外科,广东珠海519100

第一机构：甘肃中医药大学党委研究生工作部、研究生院

年份：2021

卷号：28

期号：11

起止页码：1381

中文期刊名：中国胸心血管外科临床杂志

外文期刊名：Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

收录：CSTPCD;;北大核心:【北大核心2020】；CSCD:【CSCD_E2021_2022】；

基金：甘肃省自然科学基金(1606RJZA184);2015年度原兰州军区基金资助项目A类(CLZ15JA04)。

语种：中文

中文关键词：食管瘘;内镜下真空辅助闭合治疗;微创治疗;综述

外文关键词：Esophageal fistula;endoscopic vacuum-assisted closure therapy;minimally invasive therapy;review

摘要：如何有效修复食管穿孔、破裂以及术后吻合口瘘等造成的食管瘘一直是困扰消化外科医生的重点难题。虽然临床可选择的治疗方法很多,但疗效仍不能令人满意,特别是当食管瘘口外合并严重的纵隔脓腔。近年来,国外不断推广一种新的内镜微创治疗技术来修复食管瘘—内镜下真空辅助闭合治疗,其治疗效果显著。本文就内镜下真空辅助闭合治疗的具体操作、优劣势以及其治疗食管瘘的临床疗效进行阐述,为临床修复食管瘘提供新的治疗技术,拓展内镜微创治疗的新领域。
How to effectively repair esophageal fistulas, caused by esophageal perforation, rupture and anastomotic leakage after esophagectomy has always been a key problem for the digestive surgeon. Although there are many clinical treatment methods, the therapeutic effect is still completely unsatisfactory, especially when severe mediastinal purulent cavity infection is associated with the esophageal fistula. In recent years, foreign centers have promoted a new minimally invasive endoscopic treatment technology to repair the esophageal fistula, endoscopic vacuum-assisted closure therapy, with significantly curative effect. In this article, we will review the specific operation,advantages and disadvantages, as well as the clinical efficacy of endoscopic vacuum-assisted closure therapy in treating the esophageal fistulas, to provide a new therapeutic technique for esophageal fistulas and expand the new field of minimally invasive endoscopic therapy.