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題 名 | Surgical Treatment of Acquired Esophagorespiratory Fistula=後天性引起之食道與呼吸道瘻管之外科處理 |
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作 者 | 吳明和; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 26:1 民82.01-02 |
頁 次 | 頁1563-1567 |
分類號 | 416.216 |
關鍵詞 | 後天性食道與呼吸道瘻管; 外科處理; Esophagorespiratory fistula; |
語 文 | 英文(English) |
中文摘要 | 自1988年12月至1991年9月,4個病人因後天性引起之食道呼吸道瘻管接受手術治療。吸入性肺炎促使病人早期接受手術。這些瘻管皆經食道攝影和支氣管鏡證質。其中三位病人因腐蝕性灼傷而起。手術步驟為食道切除,胃全部或部份切除,食道以左側結腸替代給以重建,及氣管支氣管成型術。氣管支氣管成型術包括:第一位病人經左側開胸行左支氣管修補,第二位病人經右側開胸行氣管修補及支氣管袖式切除。第三位病人係經兩側開胸術以一片心包膜修補氣與支氣管。結核病引起的瘻管病人,因第一次失敗,經第二次支氣管與食道修補。全部病人以不同的手術方式皆得到良好治療效果。 |
英文摘要 | From December 1988 to September 1991, four patients with acquired nonmalignant esophagorespiratory fistula were surgically treated. Aspiration pneumonia prompted these patients to undergo an early operation. All the fistulas were confirmed by the esophagogram and bronchoscopy. Among them, three with associated esophagogastric strictures were caused by corrosive injury; another had come from tuberculosis. In the three postcaustic patients, the operative procedures were esophagectomy, total or partial gastrectomy, esophageal replacement with left colon and tracheobronchoplasty. The tracheobronchoplasty consisted of bronchial repair through a left thoracotomy in Case 1, tracheal repair and bronchial sleeve resection through right thoracotomy in Case 2, and tracheobronchial repair by a patch of pedicle pericardium through bilateral thoracotomy in Case 3. Because of a recurrence, the tuberculous patient underwent a second operation for bronchial and esophageal repair. All patients had good results after different surgical intervention. |
本系統中英文摘要資訊取自各篇刊載內容。