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目的 探讨先天性食管闭锁的X线诊断价值。方法 收集先天性食管闭锁14例,其中13例行食管插管造影,1例仅行食管插管摄正侧位片。14例均摄常规胸、腹平片。7例行一期食管吻合术。回顾性分析其X线表现。结果造影显示上段食管盲端13例,食管内胃管受阻1例。其中显示上段食管气管瘘管1例;胃肠道积气10例;吸入性肺炎14例,并右上叶肺不张2例,右上及左肺不张1例。X线分类有Ⅰ型3例、Ⅱ型10例、Ⅳ型1例。结论 食管造影结合胸腹平片对诊断先天性食管闭锁及分类有重要意义,盲端的准确定位对能否行手术一期吻合的判断很有价值。
Objective To investigate the value of X-ray diagnosis of congenital esophageal atresia. Methods 14 cases of congenital esophageal atresia were collected, including 13 cases underwent esophagectomy and 1 case underwent esophageal intubation. 14 cases were taken conventional chest, abdominal plain film. 7 routine esophageal anastomosis. Retrospective analysis of the X-ray findings. Results angiography showed the upper segment of esophageal blind end in 13 cases, 1 case of obstruction of esophageal gastric tube. Which showed the upper esophageal tracheal fistula in 1 case; gastrointestinal gas in 10 cases; 14 cases of aspiration pneumonia, and right upper lobe atelectasis in 2 cases, right upper left and left atelectasis in 1 case. X-ray classification of type Ⅰ in 3 cases, type Ⅱ in 10 cases, type Ⅳ in 1 case. Conclusions Esophageal angiography combined with thoracoabdominal plateography is of great importance in the diagnosis of congenital esophageal atresia and classification. The accurate location of the blind end is of great value in judging whether an operation is an anastomosis.