摘要
总结33例小儿胃食管返流的诊治经验。并对胃食管返流的概念,与胃食管返流有关的解剖生理因素、诊断方法、手术治疗中的术式选择及要点,提出了讨论、评价及介绍。推荐了诊断上应行多项综合性检查,特别是动态性的钡餐造影观察来确定。手术29例。效果好。
The Diagnosis and treatment of gastroesophageal reflux(GER)was made in 33 infants and young children with severe symptoms in authors' hospital during the past 22 years. The age ranged from 40 days to 5.5 years old. 30 cases had accompanied hiatus hernia and 4 had presented with delayed gastric emptying (DGE). The diagnostic methods included barium esophagograms, ultrasonogram, esophageal manometry, gastroesophageal scintiscan and esophagoscopy. 29 patients were treated operatively and 21 cases were operated during the last 4 years. Of 21 cases, the gastroesophageal fundoplication and pyloroplasty were 19 and 2 respectively. Operative results were satisfactory. The experiences with 33 patients indicate that the combining use of various investigations is valuable for diagnosis, and the gastroesophageal fundoplication is an effective antireflux operation and can be used in pediatric patient with GER.
出处
《中国修复重建外科杂志》
CAS
CSCD
1993年第1期3-6,共4页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
胃
食管返流
诊断
Gastroesophagcal reflux Hiatus hernia Gastroesophageal fundoplication Delayed gastric emptying Pyloroplasty
