摘要
目的探讨先天性食管闭锁的诊断及治疗。方法回顾性分析本院近4年15例先天性食管闭锁的诊断及治疗经验。结果15例先天性食管闭锁经胸片及食管支气管造影检查得以证实诊断,12例手术中除1例合并有室间隔缺损,1例术后并发胃瘘、腹膜炎及硬肿症最终导致心肺衰竭死亡之外,其余10例均手术治愈存活,存活率达83.3%。3例放弃手术,其中2例合并有先天性肛门闭锁,1例为Ⅱ型闭锁。结论早期诊断,造影剂的改良,术中仔细操作,围手术期NICU监护,积极有效地预防术后并发症是提高食管闭锁患儿治愈率的重要因素。
Objective To discuss the diagnosis and treatment of congenital esophageal atresia(CE-A).Methods Experience of early diagnosis and treatment of15patients with CEA in the recent 4years was analyze d retrospectively.Results All the patients were diagnosed definitely by chest X-ray and esophagobronchial contrast examination.Twelve patients underwent operations.Ten of them were survived after operations(83.3%)and two patients died from postoperative complications.One with ventricular septal defect simultaneously suffering from pneumonia,the other suffering from gastric fistula,peritonitis,scleredema neonatorum,which leaded to cardiopulmonary failure.Three patients abandoned operative therapy,one case of them belongs to TypeⅡCEA;other two had congenital anus atresia besides CEA.Conclusions Early diagnosis,improvement of the contrast medium,carefully operation,perioperative monitoring in NICU,and prevention of postoperative complications are also very important to improve the postoperative survival of patients with CEA.
出处
《临床小儿外科杂志》
CAS
2003年第2期107-109,共3页
Journal of Clinical Pediatric Surgery
