颈区手术后医源性食管瘘

Q4 Medicine
Krzysztof Kowalik, Anna Gruszczyńska, Agnieszka Kowalska, Marek Pękala, Andrzej Modrzejewski
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引用次数: 0

摘要

& lt; b>介绍:& lt; / b>在波兰文献中,颈外科手术后的医源性食管瘘是一个很少讨论的话题。由于缺乏关于颈部手术后食管瘘、食管穿孔的文献报道,故进行了本文的研究。为此,我们对文献进行了回顾,并对两个病例进行了描述,将诊断和治疗遇到的困难与世界文献进行了比较。</br></br>& lt; b>案例报告:& lt; / b>在本病例中,食管瘘的形成发生在颈部手术后。第一例食管瘘是Zenker憩室切除术后的并发症,第二例食管瘘是甲状腺切除术后出现的。食道瘘管在描述的患者被证明是一个主要的治疗挑战。尽管外科医生、喉科医生和胸外科医生对这两名患者进行了许多修复手术,但没有取得完全的治疗成功。在本研究中,作者将患者的管理模式与其他中心的经验联系起来。本文对食管瘘的治疗方法、可能出现的并发症及治疗方法进行了讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Iatrogenic oesophageal fistulas after neckregion surgery
Introduction: Iatrogenic esophageal fistulas after neck surgery are a rarely discussed topic in the Polish literature. Due to the scarcity of publications on esophageal fistulas, esophageal perforation after neck surgery, the topic of this paper was undertaken. For this purpose, the literature was reviewed and a description of two cases was presented, comparing the diagnostic and therapeutic difficulties encountered to the world literature.

Case reports: In the cases presented, esophageal fistula formation occurred after operations in the neck. In the first case, the esophageal fistula was a complication after resection of Zenker’s diverticulum and in the second case, the fistula developed after removal of the thyroid gland. Esophageal fistulas in the described patients proved to be a major therapeutic challenge. Despite a number of repair procedures undertaken by surgeons, laryngologists and thoracic surgeons in both patients, full therapeutic success was not achieved. In the present study, the authors related the management modalities of the presented patients to the experience of other centers. Methods of treating esophageal fistulas, possible complications and ways of treating these complications are discussed.
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来源期刊
Polish Otorhinolaryngology Review
Polish Otorhinolaryngology Review Medicine-Otorhinolaryngology
CiteScore
0.20
自引率
0.00%
发文量
23
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