Application of electronic bronchoscope in 65 children with congential tracheoesophageal fistula during perioperative period
10.3760/cma.j.issn.1673-4912.2022.02.009
- VernacularTitle:电子支气管镜在65例先天性气管食管瘘儿童围手术期的应用
- Author:
Qijun ZHAO
1
;
Yongjun WANG
;
Yongsheng SHI
;
Hanyi LI
;
Shuying WANG
;
Youliang WANG
;
Xudong HAN
Author Information
1. 甘肃省妇幼保健院小儿呼吸科，兰州 730050
- Keywords:
Electronic bronchoscopy;
Tracheoesophageal fistula;
Perioperative period
- From:
Chinese Pediatric Emergency Medicine
2022;29(2):119-122
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the value and risk of electronic bronchoscope applied in perioperative management of children with congential tracheoesophageal fistula.Methods:Sixty-five children with congential tracheoesophageal fistula performed electronic bronchoscope examination from September 2014 to November 2020 were enrolled in this study.The results of examination and complications were analyzed.Results:Sixty-three children with congenital tracheoesophageal fistula were diagnosed by electronic bronchoscopy.The diagnosis rate was 96.92%.Fifty-four children with congenital tracheoesophageal fistula were diagnosed by esophagography.The diagnosis rate was 91.53%.Sixty-one children with congenital tracheoesophageal fistula were diagnosed by multislice spiral computed tomography.The diagnosis rate was 93.85%.Airway anatomic abnormity was found in 27 children, including three cases of nasopharyngeal soft tissue collapse, 14 cases of laryngomalacia, five cases of tracheal stenosis, nine cases of tracheobronchomalacia, and nine cases of tracheobronchial and abnormal opening of the bronchus.The incidence was 41.54%.Three children with difficult ventilator weaning were related to tracheobronchial stenosis or tracheobronchomalacia.They were gradually weaning from ventilator after a long period of mechanical ventilation and treatment.Two children with transient decrease in oxygen saturation were noticed as complication.Conclusion:Electronic bronchoscopy is a safe and effective method for the diagnosis of congenital tracheoesophageal fistula and recurrence after operation.It is of great value to the airway management after operation by early detection of respiratory anatomic abnormity.
