内镜下食管肌层切开联合主动脉带膜支架隔绝术治疗食管异物穿孔伴主动脉损伤1例

Endoscopic esophageal musculotomy combined with aortic stent isolation for esophageal foreign body perforation combined with aortic injury: a case report

摘要:

目的：探讨胸段食管异物穿孔并累及主动脉的治疗方法，为类似临床病例提供参考。方法：针对1例胸段食管异物穿孔合并主动脉损伤的患者，先行主动脉带膜支架置入腔内隔绝术后，再行胃镜下食管肌层切开异物取出术。结果：患者手术成功，术后未出现严重并发症，预后良好。结论：胸段食管异物穿孔并累及主动脉弓的患者，应在多学科（消化科、胸外科、耳鼻喉科、放射科、介入科、麻醉科）诊疗模式下，对病情充分评估后制定最佳的个体化治疗方案。

Abstract:

Objective: To investigate the treatment of thoracic esophageal foreign body perforation involving the aorta, so as to provide reference for similar clinical cases.Methods: For one patient with thoracic esophageal foreign body perforation combined with aortic injury, after aortic stent implantation for intraluminal isolation, endoscopic esophageal musculotomy for foreign body removal was performed.Results: The operation was successful, no serious postoperative complications occurred, and the prognosis was good,Conclusion: In patients with thoracic esophageal perforation involving the aortic arch, the best individualized treatment plan should be developed after full assessment under the diagnosis and treatment mode of multiple subjects (gastroenterology, thoracic surgery, otolaryngology, radiology, interventional medicine and anesthesiology)