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目的 探讨H型食管气管瘘的诊断方法 ,介绍经颈部入路行瘘管切断修补术。方法 本院 2 0年来收治了 5例先天性H型食管气管瘘 ,并经碘油造影、气管内滴注美兰法及Johonston法等检查证实。 5例均经颈部切口入路行瘘管修补术。结果 1例术后声音嘶哑 ,3个月后好转 ;4例曾发生术后吸气性喉鸣 ,3例出院时好转 ,1例半年后好转 ;5例痊愈出院。结论 H型食管气管瘘临床少见 ,检查手段需进一步提高 ,临床确诊后 ,绝大多数采用颈部横切口入路能达到满意的显示
Objective To investigate the diagnosis of H-type tracheal fistula and introduce the fistula cut-off repair through the neck. Methods The hospital in 20 years admitted to five cases of congenital H-type tracheal fistula, and lipiodol angiography, intratracheal instillation Melan method and Johonston test confirmed. Five patients underwent neck fistula repair through the neck incision. Results One case had hoarseness after 3 months, 4 cases had postoperative respiratory insomnia, 3 cases improved at discharge, 1 case improved after 6 months and 5 cases recovered. Conclusions H-type tracheal fistula is rare and the examination methods need to be further improved. After the clinical diagnosis, the vast majority of the patients can use the cervical transverse incision approach to achieve satisfactory results