食管闭锁的诊断和治疗  

Diagnosis and treatment of esophageal atresia

作　　者：周致红[1] 隋武[1] 王云慧[1] 苏海龙[1] 林洋[1] 

机构地区：[1]山东省烟台毓璜顶医院小儿外科,山东烟台264000

出　　处：《中国普通外科杂志》2011年第4期391-393,共3页China Journal of General Surgery

摘　　要：目的探讨先天性食管闭锁的临床特点及治疗。方法回顾性分析食管闭锁患儿18例临床资料,其中5例放弃手术治疗,余13例均行手术治疗。结果 13例行一期食管气管瘘结扎+食管闭锁切除端端吻合手术治疗的患者中,存活11例,4例发生吻合口狭窄,给予球囊扩张治愈;2例发生吻合口瘘,1例保守治愈,1例再次手术治愈;1例再发气管食管瘘再次手术治愈。死亡2例,分别于术后第3天和第6天死于呼吸衰竭、吻合口瘘及心衰。结论早期诊断、并发症的预防和积极处理是提高食管闭锁手术治疗效果的关键。Objective To investigate the clinical characteristics and treatment of congenital esophageal atresia（CEA）.Methods The records of 18 children who suffered from CEA and were treated in our hospital from 2002 to 2009 were analyzed.Surgery was refused in 5 cases and the others underwent operation.Results Among the13 operated children who underwent one stage ligation of esophagotracheal fistula＋esophagectomy and end to end anastomosis,11 were cured,4 suffered anastomotic stricture which was relieved by balloon dilation,and 2 children had anastomotic leakage,one of which was cured by conservative treatment and the other by reoperation.Two children died,one from respiratory failure 3 days after operation and the other from anastomotic leakage and heart failure at 6 days after operation.Conclusions Early diagnosis,prevention and aggressive treatment of complications are the key facetors to improve the outcome of congenital esophageal atresia.

关 键 词：食管闭锁/诊断 食管闭锁/外科学 食管/畸形 手术后并发症/预防与控制 

分 类 号：R655.4[医药卫生—外科学]