摘要
经胸膜外切口入路治疗新生儿ＩＩ型食管闭锁７例。按Ｗａｔｅｒｓｔｏｎ分组：Ａ组２例，Ｂ１组３例，Ｂ２组１例，Ｃ２组１例。均在胸膜外剥离胸膜，游离食管，直视下结扎远端食管支气管瘘，行食管端端减张吻合。结果：６例胸膜完整剥离，１例发生小破口经修补后完成分离。术后并发食管吻合口瘘１例，经保守治愈；食管狭窄１例，经扩张后好转。术后６例存活，１例死于肺炎、心衰。结论：新生儿胸膜虽薄却较易分离，经胸膜外入路行食管吻合，术后并发症少，生存率高。
Aim:To review the experience of extrapleural approach for treatment of esophageal atresia in neonates.Clinical material and method:From 1989 to 1995,7 newborn infants with esophageal atresia were treated surgically using extrapleural technique.All patients were boys with a mean age of 4.5 days.According to Waterston classification,2 patients were classified in group A,3 in group B1,1 in group B2 and 1 in group C.The operation was performed using extrapleural technique. Result:Six patients survived after surgery and 1 died of pneumonia and heart failure,with a hospital mortality rate of 14.3%.The postoperative complications included anastomotic leak in 1 patients and anastomotic stenosis in 1.The extrapleural dissection was intact in 6 patients.One patient had a pleural small vent and subsequently repaired.During followup,2 patients developed anastomotic stenosis,the other 4 were asymptomatic.Conclusion:The extrapleural approach for treatment of esophageal atresia is a safe and effective technique with low postoperative morbidity and high survival rate.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1998年第1期12-13,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
新生儿
食管闭锁
胸膜
外科手术
Esophageal atresia Extrapleural approach Neonate
