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目的 探讨先天性气管软骨食管异位症的病因、临床特点、诊断及治疗。方法 对近12年来收治的 8例先天性气管软骨食管异位症进行回顾性分析。结果 本组 8例全部进行手术治疗 ,其中 1例行粘膜下软骨剥离术 ,术后发生食管腹腔瘘 ,经胃造瘘营养支持后痊愈。其余 7例全部保留食管后壁 ,行软骨切除后食管前壁吻合术 ,均取得了良好效果。结论 先天性气管软骨食管异位症病因可能是由于胚胎时期胚芽的脱落造成气管软骨在食管内的异位生长。半岁左右开始出现进食呕吐为其主要的临床特征。钡餐检查有独特的X线表现。手术是唯一治疗方法 ,可获得满意疗效。
Objective To investigate the etiology, clinical features, diagnosis and treatment of congenital tracheal cartilage esophagus. Methods A retrospective analysis of 8 cases of congenital tracheal cartilage esophagitis treated in the past 12 years was conducted. Results All 8 patients underwent surgical treatment. One case underwent submucous chondral dissection. The postoperative esophageal peritoneal fistula was cured, and the gastric fistula was cured after nutrition support. The remaining seven cases all retained the posterior wall of the esophagus, anterior esophageal anastomosis after cartilage resection, have achieved good results. Conclusions The etiology of congenital tracheal cartilage esophagus may be due to the ectopic growth of tracheal cartilage in the esophagus due to the shedding of embryos during embryogenesis. Six months or so began to eat vomiting as its main clinical features. Barium meal examination has a unique X-ray performance. Surgery is the only treatment available to obtain satisfactory results.