胸腔镜联合胃镜手术治疗食管异物、食管破裂

Combined video-assisted thoracic surgery with gastroscope for esophageal foreign body,esophageal rupture

目的探讨异物性胸段食管破裂的手术方法。方法赤峰学院附属医院胸外科的11例异物性胸段食管破裂患者进行胸腔镜联合胃镜手术治疗,取出异物后,其中1例Ⅰ期修补缝合,其他均保守治疗。结果 11例患者均痊愈。结论对于异物性胸段食管损伤时间较长者,保守的手术治疗更合理,胸腔镜联合胃镜手术是一种很好的治疗选择。

Objective To investigate the surgical treatment of thoracic esophageal foreign body with perforation. Methods Department of Thoracic Surgery, The Hospital of Chifeng University, 11 patients with thoracic esophageal perforation in case of esophageal foreign body underwent repair of Video- assisted thoracic surgery and gastyoseope with endoscopy surgery treatment after take out the foreign body, one case for a period of repair suture, the rest were treated conservatively. Results 11 patients were recovered. Conclusions Conservative surgical reatment should be positive for thoracic esophageal foreign body with perforation of longer time, thoracoscope and gastroscope surgery is a very good choice.