Application of different imaging diagnosis of esophageal atresia and tracheoesophageal fistula in infants
10.3969/j.issn.1002-1671.2014.11.026
- VernacularTitle:不同影像检查对新生儿食管闭锁与食管气管瘘的诊断应用
- Author:
Weijian TU
;
Zhuqiang WU
;
Shan DING
- Publication Type:Journal Article
- Keywords:
esophageal atresia;
tracheoesophageal fistula;
contrast examination;
computed tomography
- From:
Journal of Practical Radiology
2014;(11):1872-1875
- CountryChina
- Language:Chinese
-
Abstract:
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.
