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中华胸部外科电子杂志 ›› 2023, Vol. 10 ›› Issue (04) : 241 -246. doi: 10.3877/cma.j.issn.2095-8773.2023.04.09

综述

胸部恶性肿瘤相关气管食管瘘的诊治进展
袁畅, 李志刚()   
  1. 200030 上海,上海交通大学医学院附属胸科医院食管外科
  • 收稿日期:2023-07-24 修回日期:2023-10-08 接受日期:2023-11-06 出版日期:2023-11-28
  • 通信作者: 李志刚

Progress in diagnosis and treatment of tracheoesophageal fistula associated with thoracic malignancy

Chang Yuan, Zhigang Li()   

  1. Department of Esophageal Surgery, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
  • Received:2023-07-24 Revised:2023-10-08 Accepted:2023-11-06 Published:2023-11-28
  • Corresponding author: Zhigang Li
引用本文:

袁畅, 李志刚. 胸部恶性肿瘤相关气管食管瘘的诊治进展[J/OL]. 中华胸部外科电子杂志, 2023, 10(04): 241-246.

Chang Yuan, Zhigang Li. Progress in diagnosis and treatment of tracheoesophageal fistula associated with thoracic malignancy[J/OL]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2023, 10(04): 241-246.

胸部恶性肿瘤相关气管食管瘘(TEF)会严重影响患者的长期生存。此类患者多数基础情况差,只能选择保守治疗。预防TEF并早期诊断是改善其长期预后的关键。相关诊断和治疗新技术的出现为这类患者带来新的希望。本文从胸部恶性肿瘤相关TEF的发生机制、诊断分型、治疗、预后四个部分归纳整理了其进展与展望,希望可以为临床工作提供一定参考。

Tracheoesophageal fistula (TEF) associated with thoracic malignancy can seriously affect patients’ long-term survival. Most of these patients have poor basic conditions and can only choose palliative treatment. Preventing TEF and diagnosing it early is key to potentially improving its long-term prognosis. The emergence of new diagnostic and treatment technologies has brought new hope to these patients. This article summarized the progress and prospect of thoracic tumor-related TEF in four parts: pathogenesis, diagnosis and classification, treatment and prognosis, hoping to provide some reference for clinical work.

图1 TEF位置的八分类法:Ⅰ,气管上1/3;Ⅱ,气管中1/3;Ⅲ,气管下1/3;Ⅳ,气管隆突;Ⅴ,右主支气管;Ⅵ,右中间支气管;Ⅶ,左主支气管近段;Ⅷ,左主支气管远段[17]
表1 6种TEF治疗方案汇总
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