摘要
目的：分析Ⅲ型食管闭锁术后吻合口漏及吻合口狭窄发生的因素、探讨其诊断及治疗。方法：回顾性分析47例Ⅲ型食管闭锁患者的临床资料，对食管闭锁的诊治、术后吻合口漏及吻合口狭窄发生的影响因素及诊断治疗进行探讨。结果：47例患儿中27例发生吻合口漏，获得随访的24例患儿中9例有吻合口狭窄。结论：食管闭锁术后吻合口漏的发生与食管盲端间距离及吻合口血供相关，经非手术治疗多可自愈；而吻合口狭窄则与吻合口漏密切相关，其治疗应在出现吞咽困难后再行气囊扩张。
Objective：To Analysis the risk of the type Ⅲ esophageal atresia anastomotic leakage and anastomotic stenosis postoperatively and explore the diagnosis and treatment. Methods： Retrospectively analysis 47 cases of type Ⅲ esophageal atresia clinical data and study the diagnosis and treatment of esophageal atresia, and the risk of the postoperative anastomotic leakage and anastomotic stenosis,it also study the diagnosis and treatment of it. Results： of 47 cases there were 27 cases of anastomotic leakage,and of 24 cases followed--up there were 9cases of anastomotic stenosis. Conclusions ： The Occurrence of anastomotic leakage after esophageal blind-- side anastomosis is associated with the distance between the caecum of the esophagus and the blood supply of relevant, it is self--healing without the surgical treatmentn ; and anastomotic stricture and anastomotic leakage is closely related . The balloon dilatation should bu permormed when the dysphagia occurrence.
关键词
食管闭锁
吻合口漏
吻合口狭窄
Esophageal atresia
Anastomotic leakage
Anastomotic stenosis
