摘要
目的探讨严重小儿良性食管狭窄的有效治疗方法，以减少术后并发症，提高生活质量。方法采用经胃壁潜道食管胃粘膜腔内吻合术治疗严重的小儿良性食管狭窄。以临床观察及术后２周Ｘ线钡剂上消化道造影，观察吻合口宽度及头低足高位观察食管反流情况。术后进行随访。结果本组５例患儿术后无吻合口瘘、狭窄及食管反流发生。术后１～２α患儿身体健康，发育正常。结论本术式安全可靠，操作简便，术后并发症少，对严重的小儿良性食管狭窄是一种较为理想的手术方法。
Objective The aim of this paper was to probe treatment methods for the severe benign esophageal stenosis in children in order to reducing postoperative complications and for patients getting along very well.Methods Five children with severe benign esophageal stenosis were treated with tunnel esophagogastric mucosa anastomosis in intracavity. The anastomotic orifices widths were observed by x-ray barium meal radiography of upper digestive tract two weeks after operation and clinical observation was performed. The condition of gastroesophageal reflux was survied by the Trendelenburg's position and all the cases were followed-up in postoperation.Results There were no complications of anastomotic leak, stricture and gastroesophageal reflux in all postoperated five cases. All the cases were in good health and normal development in following-up one-two years.Conclusions This operative model is safe and reliable, and with simple operational procedure and less complications. It is a ideal operative method for severe benign esophageal stenosis in children.
出处
《新乡医学院学报》
CAS
1995年第3期230-232,共3页
Journal of Xinxiang Medical University
关键词
儿童
食管狭窄
腔内吻合术
children
esophagus
stomach
esophagostenosis
intragastric anastomosis.
