气管切除吻合术治疗机械通气所致食管气管瘘的临床研究  

Therapeutic effect of tracheal resection anastomosis on esophagotracheal fistula caused by mechanical ventilation

作　　者：栾加强 钱如林[1] 蔡祖勋[1] 曹峰[1] 崔东[1] 许银辉 吴笑[1] Luan Jiaqiang;Qian Rulin;Cai Zuxun;Cao Feng;Cui Dong;Xu Yinhui;Wu Xiao(Department of Thoracic Surgery,Henan Provincial Chest Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省胸科医院胸外科,郑州450000

出　　处：《中国实用医刊》2023年第9期1-4,共4页Chinese Journal of Practical Medicine

基　　金：河南省医学科技攻关计划联合共建项目(2018020547)

摘　　要：目的:评价机械通气所致气管食管瘘(TEF)患者行气管切除吻合术(TRA)治疗的临床效果。方法:通过检索近10年发表在中英文数据库中行TRA治疗的TEF病例报道,结合2016年至2022年于河南省胸科医院采用TRA治疗的8例机械通气所致TEF患者的临床资料,评价机械通气所致TEF患者行TRA治疗的效果。结果:经筛选,共有8项研究77例患者符合纳入标准。77例患者的随访时间为18.9(1~60)个月,期间死于TRA或TEF并发症者4例(5.2%),术后TEF瘘口共愈合67例(87.0%),6个月以上无气管机械干预63例(81.8%)。河南省胸科医院收治的8例行TRA手术的患者术后康复时间短,并发症少,TEF治愈率为100%。结论:TRA是治疗因机械通气致TEF较成功的术式。Objective To evaluate the efficacy of tracheal resection anastomosis(TRA)in the treatment of tracheoesophageal fistula(TEF)caused by mechanical ventilation.Methods The case reports of TEF treated by TRA published in Chinese and English databases in the last 10 years were researched,and clinical data of 8 cases TEF cased by mechanical ventilation treated by TRA in Henan Provincial Chest Hospital from 2016 to 2022 were reviewed to evaluate the effect of TRA in the treatment of TEF caused by mechanical ventilation.Results After screening,a total of 8 studies with 77 patients met the inclusion criteria.The follow-up time of the selected 77 patients was 18.9(1-60)months,during this period,4 cases(5.2%)died of TRA or TEF complications;67 cases(87.0%)TEF healed after surgery,63 cases(81.8%)had no requirement of mechanical intervention of trachea more than 6 months.The 8 patients who underwent TRA in Henan Provincial Chest Hospital had short postoperative recovery time and few complications,and the cure rate of TEF was 100%.Conclusions TRA is a successful operation method in the treatment of TEF caused by mechanical ventilation.

关 键 词：气管食管瘘 机械通气 气管切除吻合术 

分 类 号：R653[医药卫生—外科学]