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成人良性气管食管瘘和支气管食管瘘的外科治疗

[Surgical treatment of benign tracheoesophageal fistula and bronchoesophageal fistula in the adults].

作者信息

Yao S Z

机构信息

Navy General Hospital of People's Liberation Army, Beijing.

出版信息

Zhonghua Wai Ke Za Zhi. 1990 Oct;28(10):612-4, 637-8.

PMID:2086055
Abstract

This article deals with experiences of surgical treatment of benign tracheoesophageal fistula and bronchoesophageal fistula in seven adults. Among them 2 cases were congenital, 2 cases were infective and 3 cases were traumatic. There were 5 males and 2 females. Their average age ranged from 24 to 53 years. The modes of operation were as follows: (1) resection of fistula, and repairing of leak in 3 cases; (2) pneumonectomy and repairing of leak in 2 cases; (3) esophagectomy through right thoracotomy and cervical reconstruction of the retrosternal esophagogastrostomy was performed in one case; (4) repairing of leak with pedicled esophagus wall in one case. Follow-up shows that the surgical treatment gives satisfactory results in these patients.

摘要

本文介绍了7例成人良性气管食管瘘和支气管食管瘘的外科治疗经验。其中先天性2例,感染性2例,外伤性3例。男性5例,女性2例。平均年龄24至53岁。手术方式如下:(1)3例瘘管切除及漏口修补;(2)2例肺切除术及漏口修补;(3)1例经右胸食管切除术并在胸骨后行食管胃吻合术颈部重建;(4)1例带蒂食管壁漏口修补。随访显示,手术治疗对这些患者效果满意。

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