摘要
目的探讨Ⅰ期胃代食管术治疗长段型食管闭锁的疗效。方法对2008年3月至2013年12月采用Ⅰ期胃代食管术治疗的11例长段型食管闭锁进行回顾性分析，其中男8例，女3例。入院后行食管造影确诊，其中Ⅰ型2例，Ⅲa型9例。结果所有患儿均顺利完成手术。9例治愈出院，1例死亡，1例家长放弃治疗。术后6例有严重肺炎，近期吻合口瘘2例。随访6个月至5年，吻合口狭窄3例，均行食管扩张术治愈，轻度胃食管反流6例，均未行抗反流手术，采用少量多餐及体位喂养治疗后症状缓解。结论新生儿期采用Ⅰ期胃代食管术治疗长段型食管闭锁临床可行，避免了分期手术，缩短了治疗周期，有助于提高治愈率。
Objective To explore the application and efficacy of one-stage gastric transposition in long-gap esophageal atresia. Methods 11 patients of long-gap esophageal atresia who received one-stage gastric transposition treatment from March 2008 to December 2013 were analyzed. 8 male and 3 female babies were included in the study. The diagnosis was made based on esophageal radiography. And there were 2 cases of type Ⅰ and 9 cases of type Ⅲa. Results All procedures were completed, 9 cases were cured, 1 case died and 1 case refused further treatment after operation. 6 cases developed pneumonia postoperatively, 2 cases had signs of stoma leakage. All cases were followed up for 6 months to 5 years. 3 cases had anastomotic stricture and they were cured by balloon dilation. 6 eases had mild gastreesophageal reflux but no anti-reflux procedure was needed. And gastroesophageal reflux symptoms were improved by smaller meals and appreciate the feeding treatment. Conclusion One-stage gastric transposition is feasible and acceptable in treating long-gap esophageal atresia in neonates, it can avoid staging operation, shorten the treatment period, and help to improve the cure rate.
出处
《中华胸心血管外科杂志》
CSCD
2015年第7期388-390,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
食管闭锁
长距离
胃代食管术
新生儿
Esophageal atresia Long gap Gastric transposition Neonate
