先天性膈疝术后食管功能及胃食管反流的临床观察  

Esophageal motility and gastroesophageal reflux after congenital diaphragmatic hernia repair

作　　者：夏慧敏[1] 钟微[1] 潘韶芳[1] 余家康[1] 李瑞琼[1] 何小兵[1] 杨盛春[1] 伍连康 

机构地区：[1]广州医学院附属儿童医院,510120

出　　处：《中华小儿外科杂志》2002年第4期316-319,共4页Chinese Journal of Pediatric Surgery

基　　金：广东省科委重点攻关项目 (NO 990 3 2 )

摘　　要：目的　了解先天性膈疝修补术后预后及术后食管功能和胃食管反流情况。方法　对4 6例先天性膈疝修补术后进行随访 ,13例进行了 2 4h食管双极 pH及2 4h动态压力测定 ,了解胃食管功能。结果　 13例进行了 2 4h食管pH及压力测定的膈疝修补术后患儿中 ,7例有胃食管反流 ,其中3例术中应用补片 ,4例术前显示胃疝入胸腔。结论　先天性膈疝修补术后可出现胃食管反流 ,2 4h测压及 pH测定表现为食管蠕动功能明显减弱 。Objective To study the esophageal motility and gastroesophageal reflux of congenital diaphragmatic hernia(CDH) after operation.Methods Thirteen out of 46 cases with CDH were reviewed postoperatively for gastroesophageal reflux (GER) using the 24 hour pH probe measurement and lower esophageal sphincter manometrics.Results The examination revealed pathological GER in 7 patients.In which 3 cases were used diaphragmatic patches during hernia repair,4 were preoperative stomach herniation into the thoracic cavity.Conclusion Dysfunction of the lower esophageal sphincter,disordered esophageal motility,altered anatomy of esophagogastric junction all play a role in the postoperative GER of congenital diaphragmatic hernia.

关 键 词：先天性膈疝 食管功能 胃食管反流 临床观察 手术后 

分 类 号：R726.5[医药卫生—儿科]