摘要
因误吞强碱、强酸等导致食管化学烧伤性狭窄患儿18例。年龄1～8岁,病程平均5个月。累及食管上段者6例,中下段者12例。全部患儿均施行胃造瘘术支持治疗,择期行食管扩张术12例,各种术式修复6例。18例中10例获得随访。本组经验表明:伤后早期激素和抗生素治疗可防严重瘢痕狭窄的形成;年龄小、部位高、狭窄段短者尽早施行食管扩张术有效;晚期瘢痕性狭窄宜择期施行食管替代手术。近年我科采用带末端回肠的右半结肠代食管术,其具有不开胸、顺蠕动、颈段食管与回肠腔径相近易于吻合无吻合口瘘之虑等优点,推荐为食管替代手术的首选术式。
Between 1979 and 1993,18 children with caustic esophageal strictures were treated in our department. Their ages ranged from 1 to 8 years.The strictures involved the upper portion of the esophagus in 6 patients, middle and lower portion in 12 patients.Gastrostomy was performed as a necessary supportive treatment in all cases.Ten of the 18 cases were followed up.The surgical treatment of the caustic esophageal strictures was discussed in the article and the ileocolic replacement for caustic esophageal strictures was recommended.
出处
《中华小儿外科杂志》
CSCD
1994年第4期195-197,共3页
Chinese Journal of Pediatric Surgery
关键词
食管狭窄
食管替代术
儿童
Esophageal stenosis
Esophageal replacement
