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目的 探讨治疗小儿食管良性狭窄的理想的、操作简便的手术方式。方法 通过采用结肠代食管 ,结肠与上段食管吻合治疗小儿全食管瘢痕狭窄 5例 ,对结肠代食管的几种吻合术作一比较。结果 本组病例均一期手术成功 ,无吻合口瘘及其他并发症发生 ,术后随访 1~ 3年 ,均进食正常 ,患儿发育正常。结论 小儿食管瘢痕狭窄首先手术重建食管 ,而结肠上颈段食管吻合优于其他方法 ,更适合于小儿。
Objective To explore the ideal and easy-to-use surgical method for treating benign esophageal stenosis in children. Methods A total of 5 cases of pediatric total esophageal scar stenosis were treated by colon esophageal esophageal anastomosis of the upper esophagus and several anastomoses of the esophagus were compared. Results All the patients in this group had successful operation in one phase, no anastomotic fistula and other complications occurred. All cases were followed up for 1 to 3 years and were normal to eat. The children developed normally. Conclusion Pediatric esophageal stenosis is the first surgical reconstruction of the esophagus, while the upper cervical esophageal anastomosis is superior to other methods, more suitable for children.