摘要
目的总结先天性食管闭锁诊治经验。方法回顾性分析我院2001年12月以后收治的11例Ⅲ型食管闭锁患儿病例资料。结果11例全部行经胸入路瘘管切断食管端端吻合术,1例术后1周出现核黄胆放弃治疗,其余10例痊愈出院,无手术死亡。10例复查钡餐,其中3例发现吻合口狭窄行食道扩张1～3次,现进食良好。结论早期快速准确的诊断,是使患儿得到及时有效治疗的先决条件。充分暴露和精细的操作是手术成功的关键。围术期处理尤其是术后监护对提高存活率和减少术后并发症起到至关重要的作用。
Objective To summarize experience of diagnosis and treatment for congenital esophageal atresia（Type Ⅲ）. Methods Clinical data of eleven patients of congenital esophageal atresia over since Dec 2001 in our hospital hospitalization. Results All of the cases underwent end-to-end anastomosis ofesophaguswith fistulectomy by thoracic approach. Ten of eleven cases had complete healing and were satisfactory dischaged from hospital,only one case appeared kernicterus one week after the operation, therefore abandoned treatment.Dead from the operation was no occurred.By ten cases bairium meal examination showed that anastomosis orifice occurred severe stenosis in three cases several months after the operation, these patients immediately have undergoing esophageal dilatation therapy,altogether 1-3 times.Today all good have meal. Conclusions Early rapid the corrective diagnosis is a prerequisite to effective treatment timely. Fully exposure of the ioperation field and accurate operation skill are the key of the operation success,the periorperative management,especially intensive case in the postoperation could play a considerable promoting role for increasing survival rate and decreasing complication in the Postoperation.
出处
《临床小儿外科杂志》
CAS
2005年第2期85-87,共3页
Journal of Clinical Pediatric Surgery
关键词
食管闭锁/外科学
手术期间
Esophageal Atresia/SU
Intraoperative Period
