论文部分内容阅读
目的总结分析Ⅲ型食管闭锁术后吻合口漏及吻合口狭窄发生的因素、诊断及治疗。方法回顾郑州市儿童医院收治的46例Ⅲ型食管闭锁临床资料,对食管闭锁的诊治、术后吻合口漏发生率23.92%及吻合口狭窄发生率25.00%的影响因素及诊断治疗进行分析。结果 46例患儿中11例发生吻合口漏,获得随访的28例患儿中7例有吻合口狭窄。结论食管闭锁术后吻合口漏的发生与食管盲端间距离及吻合口血供相关,经非手术治疗多可自愈;而吻合口狭窄则与吻合口漏密切相关,其治疗应在出现吞咽困难后再行气囊扩张。
Objective To summarize and analyze the causes, diagnosis and treatment of anastomotic leakage and anastomotic stenosis after type Ⅲ esophageal atresia. Methods The clinical data of 46 cases with type Ⅲ esophageal atresia admitted in Children ’s Hospital of Zhengzhou were retrospectively analyzed. The diagnosis and treatment of esophageal atresia, incidence of anastomotic leakage after operation and rate of anastomotic stenosis of 23.92% and 25.00% were analyzed. Results Of the 46 children, 11 had anastomotic leakage, and of the 28 children who were followed up, 7 had anastomotic stenosis. Conclusions The incidence of anastomotic leakage after esophageal atresia is related to the distance between the ends of esophageal blindness and the blood supply of the anastomosis, which can be self-healing after non-surgical treatment. However, the anastomotic stenosis is closely related to anastomotic leakage, and the treatment should be swallowing Difficulty after balloon expansion.