婴幼儿食管狭窄球囊扩张术的应用研究  

Research on the Application of low pressure balloon dilation in infants with anastomotic stenosis of esophagus

作　　者：李赟[1] 马静[2] 柒琳[1] 匡玉婷[1] 贺定华[1] 陶礼华[1] 赵斯君[1] 

机构地区：[1]湖南省儿童医院耳鼻咽喉头颈外科,湖南长沙410007 [2]昆明市儿童医院耳鼻咽喉头颈外科,云南昆明650000

出　　处：《中国耳鼻咽喉头颈外科》2013年第7期376-378,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的评价球囊扩张法治疗婴幼儿食道吻合口狭窄的安全性及有效性。方法 43例先天性食道闭锁术后吻合口狭窄患儿利用食道扩张球囊进行治疗,每次扩张前后行食道造影了解扩张效果,食道吻合口狭窄指数降至10.0%以下为扩张有效。球囊扩张术后患儿呕吐症状改善,体重增加明显者为治疗有效。结果 43例患儿共接受105次球囊扩张术,随访6个月,其中39例治疗有效,有效率90.7%。结论球囊扩张治疗婴幼儿先天性食道闭锁术后狭窄是有效且安全的治疗手段。OBJECTIVE To evaluate the safety and efficacy of low pressure balloon dilation in infants with anastomotic stenosis of esophagus.METHODS 43 cases of infants with congenital esophageal atresia who had postoperative anastomotic stenosis were evaluated.Esophageal dilation balloon were used to conduct expansive treatment after stricture occured.The number of dilatations for each patient varied between 1 and 6.In total,105 dilations were done.The balloon diameter was in the range of 6-15 mm.Barium swallow radioscopy was used before and after expansion to assess the effect of treatment.If the dilation made the esophageal anastomotic stenosis index drop to below 10.0%,the treatment was regard as effective.Patients were followed up for 6 months after balloon dilatation.During this Period,children with vomiting improvement and significantly increased body weight were regarded as gaining effective treatment.RESULTS 43 cases were performed 105 balloon dilatations.After 6 months follow-up,39 cases were treated effectively.The total effective rate reached 90.7%.CONCLUSION The application of balloon dilation to treat infants with postoperative stenosis of congenital esophageal atresia is an effective and safe treatment.

关 键 词：食管狭窄 气囊扩张术 婴儿 支气管镜检查 

分 类 号：R768.3[医药卫生—耳鼻咽喉科]