CAJ | 학술논문

目的：探讨先天性食管闭锁(CEA)与食管气管瘘(TEF)的不同影像诊断价值。方法回顾性分析34例 CEA 与 TEF的影像检查表现,34例均行 X 线平片和食管造影,其中17例进行了 CT 检查。结果按照 Gross 分型：34例中 I 型2例；Ⅲ型32例,其中Ⅲa 型9例,Ⅲb 型23例。10例合并其他畸形。X 线胸腹平片显示胃肠积气32例,不同程度肺炎25例及右上肺不张3例；食管造影显示近端呈盲端34例,远端食管气管瘘1例；CT 检查显示远端 TEF 及瘘口14例。结论X 线、CT 检查与临床症状相结合能早期发现和诊断 CEA 及其分型,能够指导手术治疗提高患儿的存活率。
목적：탐토선천성식관폐쇄(CEA)여식관기관루(TEF)적불동영상진단개치。방법회고성분석34례 CEA 여 TEF적영상검사표현,34례균행 X 선평편화식관조영,기중17례진행료 CT 검사。결과안조 Gross 분형：34례중 I 형2례；Ⅲ형32례,기중Ⅲa 형9례,Ⅲb 형23례。10례합병기타기형。X 선흉복평편현시위장적기32례,불동정도폐염25례급우상폐불장3례；식관조영현시근단정맹단34례,원단식관기관루1례；CT 검사현시원단 TEF 급루구14례。결론X 선、CT 검사여림상증상상결합능조기발현화진단 CEA 급기분형,능구지도수술치료제고환인적존활솔。
Objective To investigate the diagnostic values of different imaging techniques in congenital esophageal atresia and tra-cheoesophageal fistula.Methods Imaging findinfs of 34 infants with congenital esophageal atresia and tracheoesophageal fistula were retrospectively analyzed.34 infants undertook X-ray and esophageal imaging,and 1 7 infants also undertook CT examination.Results Based on Gross classification,there were 2,32,9 and 23 cases for type I,Ⅲ,Ⅲa and Ⅲb,respectively.Coexistence of other de-formity was observed in 10 cases.Plain chest and abdomen X-ray film showed gastric pneumatosis in 32 cases,varied degrees of pneumonia in 25 cases and right upper pulmonary atelectasis in 3 cases.Esophagography showed a cecum in upper esophageal in 34 cases,distal tracheoesophageal fistula in one case.CT examination indicated distal tracheoesophageal fistula and orificium fistulae in 14 cases.Conclusion Combination of X-ray and CT imaging results with clinical symptoms can aid early detection and typing of con-genital esophageal atresia,furthermore provides guidance for operation and finally improves the survival rate of infants.