上消化道造影阴性食管纵隔瘘误诊:1例报告并文献复习  

Misdiagnosis of esophageal mediastinal fistula which upper gastrointestinal tract is negative: a case report and paper review

作　　者：包和婧 张军[1] 岳芙蓉[1] 张力[1] BAO Hejing;ZHANG Jun;YUE Furong;ZHANG Li(Digestive Tumor Ward, Chongqing Three Gorges Center Hospital, Chongqing 404000, China)

机构地区：[1]重庆三峡中心医院肿瘤消化病区

出　　处：《分子影像学杂志》2019年第3期333-335,共3页Journal of Molecular Imaging

摘　　要：食管瘘是指各种原因所致食管与邻近器官的异常交通,可分为食管胃吻合口瘘、食管气管瘘、食管纵隔瘘等,食管钡剂造影可诊断。目前的治疗方法主要包括手术治疗、内镜下治疗及保守治疗。本文报道上消化道造影阴性食管纵隔瘘误诊患者一例,并就食管瘘的诊疗予以综述,希望提高对食管瘘的认识,提高早期诊断效率,为食管瘘治疗方案的选择提供帮助。Esophageal fistula refers to the abnormal communication between esophagus and adjacent organs caused by various reasons. It can be divided into gastroesophageal anastomotic fistula, esophago-tracheal fistula, esophageal mediastinum fistula. It can be diagnosed by esophageal barium contrast examination. The surgical treatment, endoscopic treatment and conservative treatment are current treatments. Once esophageal fistula occurs, patients often have uncontrollable infection. The mortality rate is high if not diagnosed and treated in time. This paper reports a case of misdiagnosis of esophageal-mediastinal fistula with negative upper gastrointestinal radiography. It summarizes the diagnosis and treatment of esophageal fistula to improve the understanding of esophageal fistula and the efficiency of early diagnosis.

关 键 词：食管癌 食管纵隔瘘 上消化道造影 

分 类 号：R571[医药卫生—消化系统]