Department of Pediatric Surgery, Shengjing Hospital, China Medical University, Shenyang, China.
Dis Esophagus. 2014 May-Jun;27(4):325-9. doi: 10.1111/dote.12113. Epub 2013 Aug 27.
The present study was designed to evaluate the accuracy of preoperative ultrasonography (US) in depicting the structure of esophageal atresia with distal fistula (EA-DF) and to determine its role in planning the surgical strategy by digitally measuring the interpouch distance (ID). Thirty-six neonates (20 males and 16 females) born with EA-DF were included in this study. After obtaining chest radiographs of the neonates with a coiled nasogastric tube in the upper esophageal pouch, longitudinal esophageal high-frequency US was performed. The esophageal structures were displayed, and the IDs measured on US images were compared with the surgical findings. With the use of US, the structure of EA-DF was accurately depicted, and the ID detected by US correlated well with the surgical findings. Statistical analysis demonstrated no significant difference in the ID as assessed by US and surgery (R = 0.99, P < 0.001).). US findings were crucial for planning the surgical strategy in 9 (25.0%) patients. Preoperative US could provide more accurate information on the structure of EA-DF and play a crucial role in planning the surgical strategy.
本研究旨在评估术前超声（US）在描绘伴有远端瘘管的食管闭锁（EA-DF）结构方面的准确性，并通过数字测量管囊间距离（ID）来确定其在规划手术策略中的作用。本研究纳入了 36 例出生时伴有 EA-DF 的新生儿（男 20 例，女 16 例）。在将螺旋形鼻胃管置于食管上段囊内后，获得新生儿的胸部 X 线片，然后进行食管高频纵向超声检查。显示食管结构，并比较 US 图像上测量的 ID 与手术结果。使用 US 可以准确描绘 EA-DF 的结构，并且 US 检测到的 ID 与手术结果相关性良好。统计学分析显示 US 和手术评估的 ID 无显著差异（R = 0.99，P < 0.001）。US 结果对 9 例（25.0%）患者的手术策略规划至关重要。术前 US 可以为 EA-DF 的结构提供更准确的信息，并在规划手术策略中发挥关键作用。
