Santosham Rajan
Thoracic Surgery, Santosham Chest Hospital, 155, Egmore High Road, Egmore, Chennai 600008, India.
Thorac Surg Clin. 2018 Aug;28(3):385-392. doi: 10.1016/j.thorsurg.2018.05.004.
Acquired benign tracheoesophageal fistula is a rare and challenging clinical condition requiring the combined efforts of team management. Numerous causes have been documented, the most common of which are endotracheal and tracheostomy tube-related injuries. The classic clinical presentation is a persistent and intense cough following deglutition. It is confirmed by endoscopic procedures on the aerodigestive tracts, and graphic displays of the fistula can be obtained from images obtained from contrast studies. Successful management mostly requires good preoperative preparation, careful intraoperative dissections at a single-stage intervention, and excellent postoperative care.
后天性良性气管食管瘘是一种罕见且具有挑战性的临床病症，需要团队协作进行综合管理。已有文献记载了众多病因，其中最常见的是气管内插管和气管造口管相关损伤。典型的临床表现是吞咽后持续剧烈咳嗽。通过对气道消化道进行内镜检查得以确诊，并且可以从造影研究获得的图像中获取瘘管的图像显示。成功的治疗大多需要做好术前准备、在一期干预时进行仔细的术中解剖以及出色的术后护理。
