下咽及颈段食管穿孔的处理
Management of hypopharyngeal and cervical oesophageal perforations.
作者信息
Hinojar Adolfo G, Díaz Díaz María Angeles, Pun Yat-Wah, Hinojar Adolfo A
机构信息
Department of Otorhinolaryngology, Hospital de la Princesa, Universidad Autónoma de Madrid, Diego de León 62, Spain.
出版信息
Auris Nasus Larynx. 2003 May;30(2):175-82. doi: 10.1016/s0385-8146(03)00042-7.
BACKGROUND
Perforations of the hypopharynx and the cervical oesophagus are infrequent severe situations, which may even be life-threatening for patients.
METHODS
We review seven cases of intraluminal perforations of the hypopharynx or cervical oesophagus treated at our department between 1999 and 2001.
RESULTS
In this series of patients, foreign bodies were the main cause of perforation. In four cases, the treatment was surgical by means of a cervicotomy and/or thoracotomy and drainage; in the other three cases, conservative treatment was applied. In some cases, the morbidity was considerable but there were no mortalities.
CONCLUSIONS
The treatment of perforations of the hypopharynx and the cervical oesophagus must be individualized and multidisciplinary. The early diagnosis of these perforations is an important factor for prognosis.
背景
下咽和颈段食管穿孔是罕见的严重情况，甚至可能对患者生命构成威胁。
方法
我们回顾了1999年至2001年期间在我科治疗的7例下咽或颈段食管腔内穿孔病例。
结果
在这组患者中，异物是穿孔的主要原因。4例采用颈部切开术和/或开胸术及引流的手术治疗；另外3例采用保守治疗。在某些病例中，发病率较高，但无死亡病例。
结论
下咽和颈段食管穿孔的治疗必须个体化且多学科进行。这些穿孔的早期诊断是影响预后的重要因素。
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