儿童食管狭窄的内镜治疗  

Endoscopic treatment for esophageal stenosis in children

作　　者：徐俊杰 朱立平 张乐 XU Jun-jie;ZHU Li-ping;ZHANG Le(Department of Gastroenterolgy,Qilu Children＇s Hospital of Shandong Uni-versity,Jinan 250022,China)

机构地区：[1]山东大学齐鲁儿童医院消化科,山东济南250022

出　　处：《中国实用儿科杂志》2018年第11期840-845,共6页Chinese Journal of Practical Pediatrics

摘　　要：儿童食管狭窄主要是良性狭窄。明确狭窄部位病因、病变性质及病变部位的形态结构,制定适宜的内镜下治疗策略是保证成功治疗的关键。食管狭窄内镜治疗包括内镜下球囊扩张术、内镜下放射状切开术、药物注射、内镜下支架置入术、磁性压榨吻合等方法。所有这些方法各有其优缺点。良性狭窄的治疗需要重复多次,存在一定风险。应根据病变特点综合运用各种治疗方法从而达到最佳治疗效果。因此,术前做好食管狭窄评估,选择适宜的治疗方式,对减少并发症的发生,降低成本,保证患儿基本营养供给有重要意义。Childhood esophageal stenosis is mainly benign stenosis. According to the cause of the stenosis,the nature of the lesion and the morphological structure of the lesion,formulating appropriate endoscopic treatment strategy is the key to successful treatment. Endoscopic treatment for esophageal stricture includes endoscopic balloon dilatation,endoscopic radial incision,medical treatement,endoscopic stenting,magnetic compression anastomosis and so on. All of these methods have their advantages and disadvantages. The treatment for benign stenosis needs to be repeated multiple times with certain risks. According to the characteristics of lesions,different treatment methods should be combined to achieve the best therapeutic effect. Therefore,preoperative evaluation of esophageal stenosis and selection of appropriate treatment methods are important for reducing the incidence of complications,reducing costs,and ensuring the basic nutritional supply of children.

关 键 词：儿童 良性食管狭窄 内镜治疗 

分 类 号：R72[医药卫生—儿科]