小儿气管食管瘘手术治疗分析

目的：对小儿气管食管瘘病例的诊断、治疗和愈后进行回顾和总结。方法对本院近5年来收治的10例气管食管瘘患儿的手术治疗过程及疗效进行回顾性分析。10例均接受手术治疗11次，对气管瘘口进行修补，对食管明显狭窄者切除病变食管，行端端吻合或结肠代食管。结果10例均获治愈，术后无一例死亡，门诊随访时间3～15个月，仅2例出现食管狭窄需多次扩张，其余均正常。结论小儿气管食管瘘的常见原因为化学腐蚀性和医源性，常伴发呼吸道症状，病情较为严重，积极有效的手术治疗能改善患儿预后，提高存活率。

Surgical treatment of tracheal-esophageal fistula in children and review

Objetive Pediatric tracheal esophageal fistula：diagnosis,treatment and prognosis for review and summarizing. Methods For nearly 5 years,10 patients with tracheal esophageal fistula surgery for retrospective analysis,all 10 patients surgical treatment for 11 times. Results No postoperative deaths.Post-operative outpatient follow-up 3～15 months,only 2 cases of esophageal stricture requiring multiple expansion, remaining normal. Conclusion Common causes of tracheal esophageal fistula in children to chemical corrosion and iatrogenic,often accompanied by respiratory symptoms,which condition is more serious,positive and effective surgical treatment can improve the prognosis of patients with to improve survival rates.