先天性肥厚性幽门狭窄的纤维胃镜检查  

SIGNIFICANCE OF GASTROSCOPY IN CONGENITAL HYPERTROPHIC PYLORIC STENOSIS

作　　者：孙静生[1] 李索林[1] 林文举[1] 牟弦琴[1] 李明红[1] 王春福[2] 张鹏飞[2] 李福考[2] 

机构地区：[1]河北医学院附属二院小儿外科 [2]河北医学院附属二院普外科

出　　处：《河北医学院学报》1991年第4期219-220,243,共3页

摘　　要：18例先天性肥厚性幽门狭窄(CHPS)的纤维胃镜检查,结果表明胃粘膜病理变化的轻重程度与病期长短和肿块大小无关,而与B超测量的幽门管内径有直接关系。其内径为1.75±0.25mm者有粘膜严重水肿、糜烂甚至出血,因此对该部分患儿应给予充分的术前准备和术后处理。Eighteen cases with congenital hypertrophic pyloric stenosis (CHPS) studied by fibrogastroscopy were reported. The results showed that the degree of gastric mucosal lesion was related directly to the size of internal diameter of pyloric duct measured by B-type ultrosonography and with no relation to the course of CHPS and the size of pyloric mass. When the internal diameter of pyloric duct was 1.75±0.25mm, the gastric mucosa presented serious edema, erosion and hemorrhage. Therefore, the effective pre-operative preparation and post-operative care should be taken into consideration in such cases.

关 键 词：幽门狭窄 胃镜 超声检查 先天性 

分 类 号：R656.630.4[医药卫生—外科学]