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目的通过对新生儿先天性食管闭锁的临床及X线表现的回顾性分析,以提高对本病的认识及诊断水平,提高患儿的生存率。方法回顾性分析本院2005—2011年经手术证实的12例食管闭锁患儿的临床及X线表现。结果根据Cross分型方法本组病例中食管闭锁Ⅲ型9例,其中Ⅲa型3例,Ⅲb型6例;Ⅰ型2例;Ⅴ型1例。2例合并VACTERL综合征,均为合并肛门闭锁及先天性心脏病。结论 X线胸、腹部平片及食管造影结合患儿出生后口吐白沫等典型临床表现,能早期发现和诊断新生儿先天性食管闭锁及其类型,能够指导手术治疗,提高本病患儿的存活率。
Objective To retrospectively analyze the clinical and X-ray findings of neonatal congenital esophageal atresia to improve the level of awareness and diagnosis of this disease and to improve the survival rate of children. Methods The clinical and X-ray findings of 12 patients with esophageal atresia confirmed by surgery from 2005 to 2011 in our hospital were retrospectively analyzed. Results According to the Cross classification method, 9 cases of esophageal atresia type Ⅲ were found in this group, including 3 cases of type Ⅲa and 6 cases of type Ⅲb, 2 cases of type Ⅰ and 1 case of type Ⅴ. 2 cases with VACTERL syndrome, are combined with anal atresia and congenital heart disease. Conclusion X-ray thoracic and abdominal plain film and esophageal angiography combined with typical clinical manifestations of vomiting foams at birth in children can early detection and diagnosis of neonatal congenital esophageal atresia and its type, can guide the surgical treatment to improve the children with this disease Survival rate.