先天性食管狭窄的诊断与治疗（附8例报告）  

Diagnosis and Treatment of Congenital Esophageal Stenosis:A Report of 8 Cases

作　　者：王小平[1] 刘锟[1] 王云杰[1] 程庆书[1] 张凡[1] 

机构地区：[1]第四军医大学唐都医院胸外科

出　　处：《中国胸心血管外科临床杂志》1995年第1期17-19,共3页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：我院从１９５４年至今共收治先天性食管狭窄８例。此症是由于胚胎发育异常所致；分为食管壁增厚型、蹼型、气管迷入型及胃肠粘膜迷入型。自幼出现下咽梗阻是突出的病史。诊断主要依靠病史，食管造影和食管镜检查。治疗：术前均应先行支持治疗；蹼型可在直视下扩张或手术切除环形粘膜；其余各型病变位于下段食管者行部分食管切除，食管胃“隧道”式吻合术为佳；病变位于中上段者行食管旷置，结肠代食管术为宜。cases of congenital esophageal stenosis had been admitted and treated in our hospital from 1954.This disease is believed to be the result of abnormal development of the embryo,and can be divided into esophageal thick-walled type,membranous web type,tracheobronchial cartilage remnants type and gastrointestial mucosa remnants type. The typcali history was dysphagia from infancy.The diognosis is mainly depended on the history esophagography and esophagoscope.Treatment:it is suggested that suporting treatment proir to opration;should be given to all patients.with membranous web type lesson should be dilated under direct vision or the circular mucosa reseted.As for other types,when the stenosis located in low esophageal segment the esophagectomy and'tunnel way'esophagogastrostomy should be applied,when the lession located in up and middle segments esophageal reconstuction with colon is preferable.

关 键 词：先天性食管狭窄 诊断 治疗 

分 类 号：R571.1[医药卫生—消化系统] R655.4[医药卫生—内科学]