小儿结肠重建食管术后功能评价  

FUNCTIONAL EVALUATION OF COLON REPLACEMENT FOR ESOPHAGUS IN CHILDREN/

作　　者：陈新国[1] 刘润玑[1] 王继孟[1] 郭宗远[1] 

机构地区：[1]山东省立医院小儿外科

出　　处：《中国修复重建外科杂志》1996年第1期50-52,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：对１９７１年～１９９２年，采用结肠重建食管术后的２４例小儿，应用问卷、放射线检查、食管压力测定及肠胃返流指数测定方法进行了随访。重点观察术后各种并发症及消化道的功能状态。结果：术后生长、发育正常，临床评价总优良率８９．５％。讨论了三种不同径路结肠重建食管术的优缺点；认为，结肠经食管床径路间置术式的临床疗效更满意；胃引流手术以幽门环肌切开术为佳。Esophageal reconstruction with interposition of transverse colon was performed in 24 children from 1971 to 1992. The results were evaluated from questionaire, clinical interview, barium swallowing, manometric and radioisotopic test. The complications and the functional status of the gastrointestinal tract were studied and discussed. The follow up showed the growth and developmenlt of the children were satisfactory, the results were good to excellent in 89.5 per cent. If necessary, pyloromyotomy should be chosen instead of other methods of pyloroplasty. Compairing the three routes of colon reconstruction, the esophageal bed route had an excellent clinical result.

关 键 词：食管重建 结肠 功能评价 儿童 

分 类 号：R726.554[医药卫生—儿科]