48例先天性食道闭锁手术后并发症的分析

Analysis on complications of postoperation in 48 infants with congenital esophageal atresia

目的回顾性分析48例先天性食道闭锁术后并发症的防治,以提高食道闭锁术后生存率。方法总结17年来广东省某医院对食道闭锁术后并发症防治的经验,分析并发症与生存率的关系。结果 48例食道闭锁经手术后总治愈和好转率为67%,其中Ⅲ型治愈和好转率达到75%,术后出现的主要并发症依次是肺炎、吻合口狭窄、吻合口瘘、硬肿症和胃食道返流。结论加强术前术后的管理,积极预防和治疗并发症是提高手术后存活率的关键。

Objective：To analyze prevention and treatment of the complications of postoperation in 48 infants with congenital esophageal atresia,in order to raise the survival rate.Methods：Sum up the experience of postoperative complications in 48 infants with congenital esophageal atresia,and analysis the relationship between the survival rate and postoperative complications.Results：The rate of curation and improvement was 67%,which was 75% in the type Ⅲ of esophageal atresia. The postoperative complications were pneumonia、anastomotic stenosis、anastomotic leakage、scleredema and gastroesophageal reflux.Conclusion：The key to raise the postoperative survival rate with congenital esophageal atresia is the right management during perioperation stage as well as prevention and treatment of postoperative complications.