先天性气管软骨食管异位症的诊治

Diagnosis and treatment of congenital tracheobronchial cartilage remnants of esophagus

目的:探讨先天性气管软骨食管异位症的临床表现、诊断及治疗方法。方法:对我院近18年来收治的15例先天性气管软骨食管异位症的诊治进行回顾性分析。结果:根据临床起病表现以及钡餐检查基本可明确诊断。本组15例全部进行手术,治疗方法采取软骨切除、食管前壁成形术,均取得满意的效果,其中1例采用黏膜下软骨剥离术,术后发生食管腹腔瘘,经胃造瘘营养支持后痊愈。结论:先天性气管软骨食管异位症在婴儿添加辅食时以呕吐不含胃液和胆汁的食物起病,钡餐检查具有特征性的钟摆征或梭形征,可作为术前的诊断依据。手术是唯一可靠的治疗方法。

Objective： To explore the clinical situation, diagnosis and treatment of congenital tracheobronchial cartilage remnants of esophagus. Methods ： A retrospective study was carried out on 15 cases of tracheobronchial cartilage remnants of esophagus in the last 18 years in our hospital. Results：Congenital tracheobronchial cartilage remnants of esophagus could be diagnosed definitely by clinical situation and barium meal. In our study, 14 patients who underwent the operation of chondric excision and oesophageal plasty had a satisfactory outcome;1 patient who received out submucosal cartilage stripping developed complication of fistulae from esophagus to abdominal cavity and was cured after gastrostomy and nutritional support. Congenital tracheobronchial cartilage remnants of esophagus manifests itself when the children begin to eat foods. Vomiting the food without gastric fluid and bile is the leading clinical situation. The special signs of pendulum and fusiform on barium meal examination can be the diagnosis evidence. Operation provides the only choice for treatment.