慢性气管食管瘘1例并文献复习  

The clinic experience and literature review with 1case of chronic tracheoesophageal fistula

作　　者：程庆[1] 魏晶晶[2] 刘邦华[1] 钟毅[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院耳鼻咽喉科,武汉430022 [2]华中科技大学同济医学院附属协和医院眼科

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第23期1877-1879,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨慢性气管食管瘘的临床特征,为临床医生提供该病的相关治疗经验和教训。方法:通过手术成功修补1例慢性气管食管瘘患者,并分析其临床诊疗过程,结合相关文献资料,报道笔者对该病的诊疗体会。结果:患者在经胃肠造瘘、介入科植入食管支架等相关综合治疗无效后,于发病9个月后入住我科,在全身麻醉下行气管食管瘘修补术,术后10d复查食管碘水未提示明显异常,术后12d出院,进食无呛咳,瘘口愈合,未见术后并发症发生。结论:气管食管瘘经保守治疗后无效者,应及时行外科手术修补,术中双层缝合瘘口,并借助临近肌肉等组织加固,可达到良好效果,对该病的诊疗特征应引起耳鼻喉医生高度重视。Objective：To investigate the clinical features of chronic tracheoesophageal fistula （TEF）, provided disease-related treatment experience and lessons for clinicians. Method：To successfully repair one case of chronic tracheoesophageal fistula with surgery, and to analyze the clinical treatment process, combined with relevant liter- ature, the author reported the experiene of diagnosis and treatment in TEF. Result： After the gastrointestinal osto- my and Stent implantation, the fistula persisted, nine months later ,we took the surgery to repair the fistule, ten days postoperation, the fistule healed and esophageal iodine water examination didn＇t prompt obvious abnormali- ties, the patient was discharged without any postoperative complications 12 days postoperation. Conclusion：If con- servative treatment failed with TEF, the surgical repair should be carried timely, By double sutured with fistula in surgery, and reinforced with the approaching muscle tissue, It can achieve good results.

关 键 词：气管食管瘘 诊断 外科手术 

分 类 号：R562.13[医药卫生—呼吸系统]