摘要
报告１９８０年至１９９４年应用保留结肠左动脉升支顺蠕动间置横结肠，行结肠下咽腔吻合治疗婴幼儿食管开口以下化学烧伤后狭窄６例的结果，旨在探讨婴幼儿食管良性狭窄的外科治疗方法。本组病例全部一期手术成功，无吻合口瘘及其他并发症发生。随访３～５年，无吻合口狭窄，病儿发育正常。作者认为，横结肠重建食管，结肠下咽腔吻合是治疗婴幼儿全食管良性狭窄较理想的手术方法。
Aim:To investigate the surgical approach for treatment of benign esophageal strictutre in infanrts.Methods:From 1980 to 1994,6 infarts with full length caustic esophageal stricture underwent transverse colon interposition procedure by colopharyngeal anastomosis in an isoperistaltic orientation.The ascending branch of left colic artery was preserved as the supporting vessel of the interpositioned colon.Results:The primary reconstructive operations were successful in all patients.There were no anastomosis leakage or other complications postoperatively.During the follow up period of 3 to 5 years,no anastomotic stenosis occurred,and all the patients grew normally.Conclusions:Esophageal reconstruction with transverse colic interposition by colopharyngeal anastomosis is the optimal approach for treatment of full length benign esophageal stricture in infants.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1997年第5期288-289,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
食管癜痕狭窄
结肠代食管
下咽腔吻合
外科手术
Esophageal cicatricial stricture Esophageal replacement Colopharyngeal anastomosis
