先天性食管闭锁及气管食管瘘16例临床分析

目的探讨先天性食道闭锁及气管食管瘘的早期诊断及冶疗。方法回顾性分析16例先天性食道闭锁及食管气管瘘患儿的临床资料。结果16例均行手术治疗,治愈10例(62.5%),死亡6例(37.5%)。术后随访6个月～3年,2例术后有食道吻合口狭窄,行球囊扩张治愈,其余8例进食良好。结论早期诊断和及时的手术治疗对提高先天性食道闭锁及食管气管瘘的手术治愈率有重要作用。

Clinical analysis of 16 patients with congenital esophageal atresia and tracheoesophageal fistula

Objective To investigate early diagnosis and treatment of congenital esophageal atresia(CEA) and tracheoesophageal fistula.Methods Clinical data of 16 patients with congenital esophageal atresia and tracheoesophaged fistula were analyzed retrospectively.Results All of 16 cases underwent operation. 10 cases were cured and curative rate was 62.5%,six cases were died. With follow up from 6 months to 3 years, anastomotic stenosis of esophagus was found in 2 cases after operation, and it was cured through using dilation of saccule. The eating of other 8 cases were good.Conclusion Early diagnosis and surgical treatment are very important to improve the cure rate of congenital esophageal atresia and tracheoesophageal fistula.