食管支架致高龄患者食管及腹膜后穿孔1例

doi:10.3760/cma.j.cn441417-20250421-22025

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (22): 3824-3827.DOI: 10.3760/cma.j.cn441417-20250421-22025

食管支架致高龄患者食管及腹膜后穿孔1例

朱凤春¹ 张丛琳² 朱明莉² 姜开通¹ 傅积薪³ 曾宪忠⁴

¹临沂金锣医院消化内科，临沂 276000；²青岛大学附属威海市中心医院消化内科，威海 264400；³青岛大学附属威海市中心医院胃肠外科，威海 264400；⁴临沂市人民医院消化内科，临沂 276000

收稿日期:2025-04-21 出版日期:2025-11-01 发布日期:2025-11-21
通讯作者: 朱明莉，Email：zmllkt@163.com
基金资助:
山东省医药卫生科技发展计划（202204080217）

Esophageal and retroperitoneal perforation caused by esophageal stent in an elderly patient

Zhu Fengchun¹, Zhang Conglin², Zhu Mingli², Jiang Kaitong¹, Fu Jixin³, Zeng Xianzhong⁴

¹Department of Gastroenterology, Linyi Jinluo Hospital, Linyi 276000, China; ²Department of Gastroenterology, Weihai Central Hospital Affiliated to Qingdao University, Weihai 264400, China; ³Department of Gastrointestinal Surgery, Weihai Central Hospital Affiliated to Qingdao University, Weihai 264400, China; ⁴Department of Gastroenterology, Linyi People's Hospital, Linyi 276000, China

Received:2025-04-21 Online:2025-11-01 Published:2025-11-21
Contact: Zhu Mingli, Email: zmllkt@163.com
Supported by:
Shandong Provincial Medical and Health Science and Technology Development Plan (202204080217)

摘要/Abstract

摘要： 随着微创技术的发展，食管支架置入术（esophageal stent placement，ESP）虽已成为重要治疗手段，但其本身也可能引发严重并发症。本文报道1例高龄患者食管覆膜支架置入术后并发食管及腹膜后穿孔的病例，重点探讨采用食管覆膜支架置入术（esophageal covered stent placement，ECSP）联合腹腔灌洗的微创治疗方法成功救治该例患者的经验。旨在为临床处理复杂食管穿孔提供新的诊疗思路，展现微创联合治疗策略在高龄患者中的应用价值和前景。

关键词: 食管支架, 医源性食管穿孔, 腹腔灌洗, 腹膜后穿孔

Abstract: With the advancement of minimally invasive techniques, esophageal stent placement has become an important therapeutic approach. However, it may also lead to severe complications. This article reports one elderly patient who developed esophageal and retroperitoneal perforation after the placement of a covered esophageal stent. It focuses on the successful treatment of this patient using a minimally invasive approach that combined esophageal covered stent placement with peritoneal lavage. The aim is to provide new diagnostic and therapeutic insights for managing complex esophageal perforations, highlighting the application value and prospects of this combined minimally invasive strategy in elderly patients.

Key words: Esophageal stents, Iatrogenic esophageal perforation, Peritoneal lavage, Retroperitoneal perforation

朱凤春张丛琳朱明莉姜开通傅积薪曾宪忠. 食管支架致高龄患者食管及腹膜后穿孔1例[J]. 国际医药卫生导报, 2025, 31(22): 3824-3827.

Zhu Fengchun, Zhang Conglin, Zhu Mingli, Jiang Kaitong, Fu Jixin, Zeng Xianzhong. Esophageal and retroperitoneal perforation caused by esophageal stent in an elderly patient[J]. International Medicine and Health Guidance News, 2025, 31(22): 3824-3827.

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食管支架致高龄患者食管及腹膜后穿孔1例

Esophageal and retroperitoneal perforation caused by esophageal stent in an elderly patient

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