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本文报道21例小儿先天性食管闭锁及狭窄的病例,其中先天性食管闭锁10例,先天性食管狭窄11例,21例均经X线检查和手术证实。结果:食管闭锁中有1例未合并食管气管瘘,8例食管上端闭锁,下端与气管相通,1例上下端均闭锁且均与气管相通。手术后3例生存,7例死亡。而11例食管狭窄中,10例术后存活,1例死亡。二组病例总的存活率为57.1%,死亡率42.9%。作者提出X线检查是诊断本病的重要手段,早期积极手术治疗,是提高本病患儿生存率的关键。
This article reports 21 cases of pediatric congenital esophageal atresia and stenosis, including 10 cases of congenital esophageal atresia, congenital esophageal stenosis in 11 cases, 21 cases were confirmed by X-ray examination and surgery. Results: In esophageal atresia, there was 1 case without esophageal tracheal fistula, 8 cases with upper esophageal atresia, the lower end connected with the trachea, and 1 case with both upper and lower ends blocked and communicating with the trachea. Three survived and seven died after surgery. Of the 11 esophageal strictures, 10 survived and 1 died. The overall survival rate of the two groups was 57.1% and the mortality rate was 42.9%. The authors proposed X-ray examination is an important means of diagnosis of the disease, early positive surgical treatment is to improve the survival rate of children with this disease the key.