摘要
目的 探讨先天性气管软骨食管异位症的病因、临床特点、诊断及治疗。方法 对近12年来收治的 8例先天性气管软骨食管异位症进行回顾性分析。结果 本组 8例全部进行手术治疗 ,其中 1例行粘膜下软骨剥离术 ,术后发生食管腹腔瘘 ,经胃造瘘营养支持后痊愈。其余 7例全部保留食管后壁 ,行软骨切除后食管前壁吻合术 ,均取得了良好效果。结论 先天性气管软骨食管异位症病因可能是由于胚胎时期胚芽的脱落造成气管软骨在食管内的异位生长。半岁左右开始出现进食呕吐为其主要的临床特征。钡餐检查有独特的X线表现。手术是唯一治疗方法 ,可获得满意疗效。
Objective To improve the diagnosis and management of congenital tracheobronchial cartilage remnants of esophagus.Methods A retrospective study has been carried out on 8 cases with tracheobronchial cartilage remnants of esophagus undergoing surgical operation since Oct. 1990.Results Among them, 7 patients underwent excision and anastomosis of the anterior wall of esophagus, and preservation of the posterior wall of esophagus, the other one received submucosal cartilage dissection and complicated with esophagus peritoneal fistula which was healed by gastrostomy. All patients got satisfactory results.Conclusions Congenital esophageal tracheobronchial cartilage remnants is related to the separation of the foregut from the respiratory tract. Tracheobronchial tissue is believed to become sequestered in the wall of the esophagus. The main presentation is vomiting which usually appears half a year after birth. With special signs on barium meal examination can confirm the diagnosis. Operative management provides the only treatment of choice.
出处
《中华小儿外科杂志》
CSCD
北大核心
2003年第3期224-226,共3页
Chinese Journal of Pediatric Surgery
