先天性食道闭锁的转运和早期诊治

Transport and early diagnosis and treatment of congenital esophageal atresia

目的探讨先天性食道闭锁的转运和早期诊断及冶疗。方法回顾性分析我院1999年9月至2003年11月收治的16例先天性食道闭锁患儿的外科资料。结果16例中13例行手术治疗,3例放弃治疗,13例患儿中11例治愈,治愈率84.6%。术后随访6个月至3年,2例术后有食道吻合口狭窄,行球囊扩张治愈,其余9例进食良好。结论合理的转运处理和早期诊断、及时的手术治疗对提高先天性食道闭锁手术治愈率有重要作用。

Objective To investigate the transport and early diagnosis and tre atment of congenital esophageal atresia.Methods From september 1999 to November 2003,16 patients with congenital esophageal atresia were analyzed retrospectivel y.Among them,13 cases underwent operation,and 3 cases gave up treatment.In the o perative cases,11 cases were cured and cure rate was 84 6%.With follow up from 6 months to 3 years,anastomotic stenosis of esophagus was found in 2 cases afte r operation,and it was cured through using dilation of saccule.The other 9 cases were good.Conclussion Reasonable transport and early diagnosis and surgical tre atment are very important to improve the cure rate of congenital esophageal atre sia.