Unit of Pediatric Pulmonology, CHU-Estaing-University Teaching Hospital of Clermont-Ferrand, Clermont-Ferrand, France.
J Pediatr Surg. 2012 Oct;47(10):e9-10. doi: 10.1016/j.jpedsurg.2012.05.012.
Congenital isolated H-type tracheoesophageal fistula (H-TEF) is a rare malformation of the airways. Surgery should not be delayed once the diagnosis is established. Identification of the fistula during surgery is a prerequisite for a successful outcome. Intubation or cannulation of the H-TEF with a catheter can help the surgeon to identify the fistula. A rigid bronchoscope is generally used for cannulation of the fistula. Cannulation of an H-TEF in a newborn with a flexible bronchoscope has the merit of simplicity and safety. We report the insertion of a catheter in an isolated H-TEF in a newborn using a flexible bronchoscope and think that this method can be easily applied.
先天性孤立性 H 型气管食管瘘（H-TEF）是一种罕见的气道畸形。一旦确诊，应立即进行手术，不能延误。术中明确瘘管的位置是手术成功的前提。使用导管对 H-TEF 进行插管或套扎有助于外科医生识别瘘管。通常使用硬性支气管镜进行瘘管套扎。使用软性支气管镜对新生儿 H-TEF 进行套扎具有操作简单、安全性高的优点。我们报道了使用软性支气管镜在一名新生儿的孤立性 H-TEF 中插入导管的方法，认为这种方法易于实施。
