儿童食管瘢痕性狭窄的外科治疗  

Surgical Treatment of Esophagus Cicatricial Stenosis in Children

作　　者：刘平波[1] 汪大绩[1] 高纪平[1] 王敬华[1] 

机构地区：[1]湖南省儿童医院心胸外科,湖南长沙410007

出　　处：《临床小儿外科杂志》2002年第3期165-167,共3页Journal of Clinical Pediatric Surgery

摘　　要：目的探讨儿童食管瘢痕性狭窄的外科治疗方法、效果及并发症的预防。方法分析1991年10月～2001年10月间手术治疗的食管瘢痕性狭窄病人15例,行胃代食管术8例,狭窄段切除、食管端端吻合术1例,结肠代食管术6例。结果15例均治愈。随访发现结肠代食管者生活质量最好,旷置食管未发生积液性囊肿。胃代食管者术后3例发生重度胃食管反流。结论经胸骨后结肠代食管术是治疗本病的较好术式,尤其适用于长段狭窄和高位狭窄。胃代食管手术较为简单,但术后可能发生严重胃食管反流。Objective to explore the surgical treatment method,outcome and preventing com-plications of esophagus cicatricial stenosis in children.Methods cicatrectomy for15cases of esophagus cicatricial stenosis,including8cases of replacement operation of esophagus with stom-ach,one case of stenosis segment removal with esophague end to end anastomose and6cases of operation of esophague replaced by colon,were performed from oct1991to oct2001,and analyzed.Results15cases of the stenosis were cured.Followed up showed that the patients with operation of esophague replaced by colon had the best life quality.Persistent placement of esophagus did not occur the hydropscyst.3cases occurred severe stomach,esophagus reflux following operation of esophague replaced with stomach.Conclusions The operation of esophagus replaced with colon by retrosternal approach is the best operative model,particularly in a long segment stenosis and high position stenosis is adoptable.The replacement of esophagus by stomach is more simple operation,but it could occur severe stomach-esphagus reflux.

关 键 词：食管狭窄 外科学 

分 类 号：R726.554[医药卫生—儿科]