| 医源性气管、支气管食管瘘的外科治疗 |
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| 引用本文： | 杨异,赵珩,申屠阳,赵天成.医源性气管、支气管食管瘘的外科治疗[J].中国胸心血管外科临床杂志,2010,17(2). |
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| 作者姓名： | 杨异 赵珩 申屠阳 赵天成 |
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| 作者单位： | 1. 上海市第六人民医院,心胸外科,上海,200233
2. 上海市胸科医院,胸外科,上海,200030 |
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| 摘 要： | 目的 探讨医源性气管、支气管食管瘘的病因及外科治疗方法,为临床治疗提供经验. 方法 1995年1月至2008年12月上海市胸科医院及上海市第六人民医院共收治气管、支气管食管瘘患者21例,其中医源性12例,男8例,女4例;年龄35～74岁,平均年龄47岁.原发病主要为肿瘤,在治疗原发病21 d～5年后发生瘘,其中气管食管瘘2例,支气管食管瘘10例;右侧支气管瘘6例,左侧支气管瘘4例.采用单纯瘘管切除、气管或支气管及食管瘘口修补2例,肺叶切除、食管瘘口修补5例,气管瘘修补或全肺切除合并消化道重建5例. 结果 全组无手术死亡,术后发生并发症2例,均治愈,无术后复发.12例患者术后均随访1年,无气管、支气管食管瘘发生. 结论 医源性气管、支气管食管瘘病情复杂、严重,手术是最有效的治疗手段.
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| 关 键 词： | 医源性 气管食管瘘 支气管食管瘘 外科治疗 |
Surgical Intervention of Iatrogenic Tracheo-broncho-esophageal Fistula |
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| YANG Yi,ZHAO Heng,SHEN Tu-yang,ZHAO Tian-cheng..Surgical Intervention of Iatrogenic Tracheo-broncho-esophageal Fistula[J].Chinese Journal of Clinical Thoracic and Cardiovascular Surgery,2010,17(2). |
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| Authors: | YANG Yi ZHAO Heng SHEN Tu-yang ZHAO Tian-cheng |
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| Institution: | YANG Yi1,ZHAO Heng2,SHEN Tu-yang2,ZHAO Tian-cheng1.(1.Department of Cardiothoracic Surgery,Shanghai6th Hospital,Shanghai200233,P.R.China,2.Department of Thoracic Surgery,Shanghai Chest Hospital,Shanghai200030,P.R.China) |
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| Abstract: | Objective To investigate the cause and treatment of iatrogenic tracheo-broncho-esophageal fistula and provide experiences for clinic treatment.Methods Between January 1995 to December 2008,21 patients with tracheo-broncho-esophageal fistula were treated in Shanghai Chest Hospital and Shanghai 6th Hospital.Among them,iatrogenic fistula happened in 12 patients including 8 males and 4 females whose age ranged from 35 to 74 years old with an average age of 47.Fistula developed 21 d to 5 years after the treatmen... |
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| Keywords: | Iatrogenic Tracheo-esophageal fistula Broncho-esophageal fistula Surgical treatment |
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