摘要
目的:分析与总结H型食管气管瘘患者的治疗经验及效果;探讨食管气管瘘的适宜诊断和手术方式。方法:6例先天性食管气管瘘,经动态食管造影及气管镜等检查证实。3例经颈部切口入路行瘘管修补术,3例经右胸入路修补术。均切除食管气管瘘瘘管,两端分别予间断缝合。结果:所有患者均恢复良好,仅1例经颈手术患者术后并发声音嘶哑,3个月后好转,随访3～5年,患者症状完全消失。结论:H型食管气管瘘可用食管造影及气管镜检查来确诊;手术治疗H型食管气管瘘的效果良好。
Objectives：H-type tracheoesophageal fistula （TEF） was diagnosed in 6 patients years from 1984 to 2004. Al though all patients were symptomatic since birth, there was a diagnostic delay. Methods：Esophagography and/or bronchoscopy confirmed the diagnosis of H--type TEF. Bronchoscopy was helpful in diagnosis, in evaluation of associated respiratory tract anomalies, and in treatment. All six cases underwent fistula repair, three through cervical approach, and the other through thoracotomy. Results： H-type tracheoesophageal fistula could be repaired by surgical repair, good result was obtained in our series. All cases were survival, only one case occur hoarseness and recovered after three months. All cases were followed up for 3 to 5 years, all symptoms disappeared. Conclusion.Surgery therapy to H--type tracheoesophageal fistula （TEF） has gained good results.
出处
《中国临床医学》
北大核心
2006年第2期231-232,共2页
Chinese Journal of Clinical Medicine
