新生儿先天性食管闭锁的X线诊断——附6例报告及文献复习  

X-ray examination on congenital esophageal atresia in neonates:6 cases reports with literature review

作　　者：许立德[1] 郭继忠[1] 林霓阳[1] 

机构地区：[1]汕头大学医学院附一院儿科,广东汕头515041

出　　处：《罕少疾病杂志》2001年第3期20-21,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨X线检查诊断新生儿食管闭锁的意义。方法报道经X线检查确诊的新生儿先天性食管闭锁6例。结果在X线透视下,经鼻插胃管至食管盲端、定位后摄胸腹平片,了解肺部炎症及胃肠积气,胃管注入适量碘液,食管造影后再摄片,了解盲端上段食管气管瘘,进行食管闭锁分型。I型1例,III型4型,V型1例。结论X线检查对食管闭锁的确诊具决定性意义,对本病早期诊断、适时手术,提高存活率至关重要。Objective To investigate the role of X-ray examination in diagnosis of congenital esophageal atresia in neonats. Methods 6 cases of congenital esophageal atresia(CEA)in neonates confirmed diagnosis by x-ray examinaton were reported.Results In order to determine inflammation in lungs and gastro-intestinal bloating,inserting a stomach tube to the part of the esphageal atresia and then infusing suitable dose of iodine solution into the stomach tube for radio-graph of esophagus,tracheoesophageal fistula was definite. There were 1 case of type I,4 case of type III and 1 case of type V for neonates with CEA. Conclusion X-ray examination play an important role in early definite diagnosis of CEA,which make it possible for early operation and improving survival rate.

关 键 词：新生儿食管闭锁 瘘管 X线诊断 

分 类 号：R726.554[医药卫生—儿科]