超细胃镜治疗先天性肥厚性幽门狭窄9例  

Pyloromyotomy for 9 Cases of Congenital Hypertrophic Pyloric Stenosis via Ultra-slim Gastroscope

作　　者：黎庆宁[1] 聂玉强[1] 张又祥[2] 李瑜元[1] 喻宁芬[2] 

机构地区：[1]广州市第一人民医院消化内科,510180 [2]广州市第一人民医院儿科,510180

出　　处：《中国消化内镜》2008年第3期9-11,共3页Digestive Disease and Endoscopy

摘　　要：目的介绍超细胃镜下幽门环形肌切开术治疗先天性肥厚性幽门狭窄(CHPS)的近期效果和安全性。方法采用超细电子胃镜治疗9例CHPS婴儿,男7例,女2例,年龄平均(59.8±13.8)天,使用乳头肌切开刀和针式切开刀沿幽门至胃窦方向切割幽门管环行肌。结果9例患儿共行10次胃镜下治疗,8例术后1天～10天内呕吐停止,另有1例首次治疗后第35天复发呕吐,第二次治疗后缓解。1例治疗后少量黑便,未见其它并发症。结论胃镜下幽门环形肌切开术治疗先天性肥厚性幽门狭窄近期有效率高、安全。Objective：To describe the short-term effect and safety ofpyloromyotomy by using an electric ultra-slim gastroscope for congenital hypertrophic pyloric stenosis （CHPS）. Methods： Nine consecutive infants （7 boys, 2 girls; mean age 59,8 ±13,8 days）, with a diagnosis of CHPS, underwent pyloromyotomy by using an ultra-slim electric gastroscope, Incisions were performed from the duodenal to the antral side of the pylorus by endoscopic electrosurgical sphincterome or needle knife, Results： These 9 cases underwent 10 endoscopic operations, in which 8 operations succeeded with disappearance of vomiting during short period, range from 1 day to 10 days after the therapy. Another one released from the symptoms after the second treatment, while vomiting was recurrent 35 days later after first procedure. Almost no complication was observed except one episode of melena in one case after the therapy. Conclusions： Pyloromyotomy under electric gastroscope for CHPS is recommendable for its short-term effect and safety.

关 键 词：先天性肥厚性幽门狭窄 内镜治疗 临床分析 治疗方法 

分 类 号：R726.566.3[医药卫生—儿科] R573.2[医药卫生—临床医学]