内镜支架作为高风险Boerhaave综合征患者的救援疗法
Khalid Bhatti1, Samuel Wiltshire1, Sufia Laulloo1
1Department of Upper GI Surgery, Royal Preston Hospital, Preston, UK.
Journal of thoracic disease
|March 12, 2026
概括
覆盖式自扩张金属支架 (SEMS) 为高风险的Boerhaave综合征患者提供了可行的替代方案. 这种最少的侵入性方法有效地管理食道泄漏和败血症,在手术不可行时提供关键的救援选择.
科学领域:
- 胃肠病学 胃肠病学
- 胸部外科手术 胸部外科手术
- 医疗器械 医疗器械
背景情况:
- 自发食道穿孔 (Boerhaave综合征) 是一种具有高死亡率的危急疾病.
- 手术修复是标准的,但不适合所有高风险患者.
- 最少侵入性策略,如覆盖式自扩张金属支架 (SEMS),为这些患者提供了替代方案.
研究的目的:
- 评估被覆盖的SEMS作为高风险Boerhaave综合征患者的最小侵入性治疗的有效性.
- 评估不适合进行外科手术的患者的治疗结果.
主要方法:
- 自发食道穿孔患者的回顾性队列研究 (2012-2024年).
- 在多学科团队评估后,不适合手术的高风险患者使用覆盖的SEMS进行管理.
- 分析了临床,生化和结果数据.
主要成果:
- 22名患有Boerhaave综合征的高风险患者接受了覆盖的SEMS.
- 住院死亡率为45%,主要是由于败血症和多器官衰竭;没有死亡与支架相关.
- 一年生存率为50%.
结论:
- 用被覆盖的SEMS进行内镜支架是高风险Boerhaave综合征患者的可行和有效的救援治疗.
- 在不能接受手术的患者中,SEMS可以预防死亡.
关键词:
波尔哈维综合症 (Boerhaave's Syndrome) 是一个通过内镜进行支架.最少侵入性的治疗方法.oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal oesophageal自扩张的金属支架 (SEMS)相关概念视频
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