Ghandour K E, Spitz L, Brereton R J, Kiely E M
Department of Paediatric Surgery, Hospital for Sick Children, London, UK.
J Paediatr Child Health. 1990 Apr;26(2):89-91. doi: 10.1111/j.1440-1754.1990.tb02393.x.
Over an 11 year period, 275 infants with oesophageal atresia and tracheo-oesophageal fistula were treated. Of these, 22 (8%) developed a recurrent fistula. An additional two patients with an established recurrent fistula were referred for secondary surgery. Infants who develop respiratory symptoms associated with feeding following repair of an oesophageal atresia should be investigated urgently with cine-radiography and/or bronchoscopy. Once the diagnosis of a recurrent fistula has been firmly established, operative repair should be undertaken. In our series of 24 patients, there were three deaths (12.5%), four patients developed a second recurrence (16.6%), while a secondary oesphageal replacement was carried out on five patients.
在11年的时间里，对275例食管闭锁合并气管食管瘘的婴儿进行了治疗。其中，22例（8%）出现了复发性瘘管。另外两名已确诊复发性瘘管的患者被转诊接受二次手术。食管闭锁修复术后出现与喂养相关的呼吸道症状的婴儿，应紧急进行动态放射造影和/或支气管镜检查。一旦复发性瘘管的诊断明确，就应进行手术修复。在我们的24例患者系列中，有3例死亡（12.5%），4例患者出现第二次复发（16.6%），同时有5例患者接受了二期食管置换术。
