摘要
１９９２～１９９５年共施行胸骨后回结肠代食管术治疗小儿食管良性狭窄１０例，患儿年龄２～８岁，病因均系误吞烧碱水。１０例中均无术中和术后死亡。术后主要早期并发症是颈部回肠食管吻合口瘘，本组共发生２例，经处理后自愈。术后随访时间平均３年，其中７例正常，３例存在吻合口狭窄。作者还结合文献对该手术的适应症、吻合口瘘和狭窄的处理及仍需长期追踪的问题进行了讨论。
The use of the ileocolon as a substitute for esophagus in children has been a wellestablished surgical procedure.Between 1992 and 1995,ten retrosternal esophageal substitutions using an ileocolic interpostion were performed.The ages of the children ranged from 2 to 8 years.The esophageal strictures were secondary to ingestion of caustic liquid.No death occurred in the intra and post operation period.Cervical ileoesophageal anastomotic leaks took place in 2 cases as the early major postoperative complications,which healed spontaneously.Three cases of ileoesophageal anastomotic strictures were noted in the followup period.The surgical indications,the treatments of anastomotic leaks and strictures,and the importance of longterm followup were discussed.
出处
《华西医科大学学报》
CSCD
1998年第1期92-94,共3页
Journal of West China University of Medical Sciences
关键词
食管狭窄
儿童
回结肠代食管术
疗效
Ileocolic esophageal replacement Benign stricture of esophagus EsophagusIleocolon
