颈胸段脊柱结核术后并发食管胸腔瘘一例_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

戎宏涛 ¹ , 李涛 ² , 刘浩 ² , 龚全 ² , 宋跃明 ²

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Keywords：

脊柱结核; 食管胸腔瘘; 并发症

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【摘要】目的总结1例颈胸段脊柱结核术后并发食管胸腔瘘的治疗方法和效果。方法 2009年4月收治1例42岁C7～T8脊柱结核患者，经规范抗结核治疗后，行经前路C7～T8脊柱结核病灶及脓肿清除、椎管减压、自体髂骨植骨融合、Antares内固定术。术后并发食管胸腔瘘，于内镜下植入全覆膜食管支架，同时予以充分引流，积极抗感染，肠内、外营养支持等综合治疗。结果经综合治疗患者食管瘘口愈合，逐步恢复正常饮食，治愈出院。结论脊柱结核术后并发食管胸腔瘘罕见，病死率极高，需高度重视，并采取积极治疗措施。

Citation： 戎宏涛 ,李涛,刘浩,龚全,宋跃明. 颈胸段脊柱结核术后并发食管胸腔瘘一例. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(1): 123-124. doi: Copy

1.	with 5-year follow-up: a case report. Neurosurgery, 2008, 18(2): 137-140.
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8.	Ogunmola N, Wyllie R, McDowell K, et al. Endoscopic closure of esophagobronchial fistula with fibrin glue. J Pediatr Gastroenterol Nutr, 2004, 38(5): 539-541.

1. with 5-year follow-up: a case report. Neurosurgery, 2008, 18(2): 137-140.
2. and hypofarinx perforations complicating anterior cervical spine surgery. Spine (Phila Pa 1976), 2003, 28(15): E290-295.
3. Hanimoglu H, Tanriverdi T, Hanci L, et al. Infantile spinal tuberculosis.
4. Benli IT, Kaya A, Acaro?lu E. Anterior instrumentation in tuberculous spondylitis: is it effective and safe? Clin Orthop Relat Res, 2007, (460): 108-116.
5. Chirica M, Champault A, Dray X, et al. Esophageal perforations. J Visc Surg, 2010, 147(3): e117-128.
6. Orlando ER, Caroli E, Ferrante L. Management of the cervical esophagus.
7. Gaudinez RF, English GM, Gebhard JS, et al. Esophageal perforations after anterior cervical surgery. J Spinal Disord, 2000, 13(1): 77-84.
8. Ogunmola N, Wyllie R, McDowell K, et al. Endoscopic closure of esophagobronchial fistula with fibrin glue. J Pediatr Gastroenterol Nutr, 2004, 38(5): 539-541.

Chinese Journal of Reparative and Reconstructive Surgery

颈胸段脊柱结核术后并发食管胸腔瘘一例

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