通讯作者: 李发久, m18627933943@163.com

DOI：10.12201/bmr.202509.00010

A case of esophageal tracheal fistula combined with esophageal pleural fistula treated with ventricular septal defect sealer

• 摘要：食管气管瘘与食管胸膜瘘是食管癌术后严重的并发症，传统治疗方法包括外科手术、支架置入等，但对于复杂瘘口或全身状况差的患者常面临挑战。本文报道1例67岁男性食管癌部分切除术后并发复杂食管气管瘘合并食管胸膜瘘患者使用室间隔缺损封堵器成功治疗的患者。证实了对于位置特殊、既往治疗失败、全身状况差、不能耐受支架或手术的复杂食管瘘患者，支气管镜引导下室间隔缺损封堵器封堵是一种安全有效的微创治疗选择，短期疗效显著，该技术为高危患者提供了新的治疗机会。

  关键词： 食管气管瘘; 食管胸腔瘘; 食管癌; 室间隔封堵器; 气管镜介入治疗

   

  Abstract: Esophageal tracheal fistula with esophageal pleural fistula is a serious postoperative complication of esophageal cancer, and traditional treatments include surgery and stent placement, but it is often challenging for patients with complex fistula or poor systemic condition. In this article, we report a case of a 67-year-old male patient with complex esophagotracheal fistula combined with esophageal pleural fistula after partial resection of esophageal cancer who was successfully treated with a ventricular septal defect occluder. It was confirmed that bronchoscopy-guided septal defect occluder occlusion is a safe and effective minimally invasive treatment option with significant short-term efficacy in patients with complex esophageal fistulas who have a special location, previous treatment failure, poor systemic condition, and who are not able to tolerate stenting or surgery, and that this technique offers new treatment opportunities for high-risk patients.

  Key words: esophagotracheal fistula; esophagothoracic fistula; esophageal cancer; septal occluder; tracheoscopic intervention

  提交时间：2025-09-02

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2025-07-09	bmr.202509.00010V1	下载

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