双胎中的食管闭锁和气管食管瘘。解剖学变异。
Esophageal atresia and tracheoesophageal fistula in the twin. Anatomic variants.
作者信息
Whalen T V, Albin D M, Woolley M M
出版信息
Ann Surg. 1987 Mar;205(3):322-3. doi: 10.1097/00000658-198703000-00018.
Recent experience with a twin who had esophageal atresia and tracheoesophageal fistula revealed complex anatomy not suspected before operation. The experience in patients with esophageal atresia and tracheoesophageal fistula who were twins was reviewed at the Children's Hospital of Los Angeles. Of 245 patients seen in the past 23 years, 16 were twins (only two of whom were siblings). Six of the 16 patients (38%) had other than the most frequent anatomy, i.e., proximal atresia of the esophagus and distal fistula. Two of these patients had extremely complex anatomy. Twenty-five per cent of the patients had a right aortic arch compared with 5% of all patients with tracheoesophageal fistula. The surgeon who encounters a twin with esophageal atresia or tracheoesophageal fistula is appropriately cautioned that significant anatomic complexity may be encountered.
近期，一名患有食管闭锁和气管食管瘘的双胞胎的病例显示出术前未被怀疑的复杂解剖结构。洛杉矶儿童医院回顾了患有食管闭锁和气管食管瘘的双胞胎患者的情况。在过去23年中诊治的245例患者中，有16例是双胞胎（其中只有两例是兄弟姐妹）。16例患者中有6例（38%）的解剖结构并非最常见的类型，即食管近端闭锁和远端瘘。其中两名患者的解剖结构极其复杂。25%的患者有右位主动脉弓，而所有气管食管瘘患者中这一比例为5%。遇到患有食管闭锁或气管食管瘘的双胞胎的外科医生应得到适当的提醒，可能会遇到显著的解剖复杂性。
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