Zhao Yong,Hua Kaiyun,Li Shuangshuang,et al.Clinical diagnosis and treatment of congenital esophageal atresia type Ⅳ[J].Journal of Clinical Pediatric Surgery,,18():874-877,883.[doi:10.3969/j.issn.1671-6353.2019.10.015]
Clinical diagnosis and treatment of congenital esophageal atresia type Ⅳ
- CLC:
- R726.1;R655.4
- Abstract:
- Objective To explore the clinical features,diagnostic and therapeutic principles of congenital esophageal atresia type Ⅳ.Methods Retrospective analysis was conducted for the clinical data of children with congenital esophageal atresia type Ⅳ from June 2017 to June 2018.There were 4 boys and 2 girls with an age range of 2 days to 55 months.The examinations included esophageal angiography & electron fiber bronchoscopy (n=6) and computed tomography (n=2).Results Five children with an initial diagnosis of congenital esophageal atresia type Ⅲ were operated.Severe cough persisted during drinking water and milk and recurrent pneumonia.A definite diagnosis was made by esophageal angiography in 3 cases.Operations were performed through neck (n=4) and thoracic cavity (n=1).One case was diagnosed during neonatal period and type Ⅳ confirmed by esophagography and electronic fiberoptic bronchoscopy.Distal endotracheal esophageal fistula ligation plus esophageal end-to-end anastomosis was performed.Parents gave up treatment due to economic difficulties.During follow-ups,the remaining 5 cases recovered well.One case of anostomotic stenosis was cured after four dilatations.There was no recurrence of tracheo-esophageal fistula.Growth and development were normal.Conclusion Proximal fistula of congenital esophageal atresia type Ⅳ may be easily missed and its surgery has an excellent outcome after a definite diagnosis.
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Memo
收稿日期:2019-02-27。
通讯作者:黄金狮,Email:jsdr2002@126.com