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手术治疗小儿贲门痉挛１３例。年龄５个月～１４岁。贲门狭窄最短２ｃｍ，最长４ｃｍ。行Ｈｅｌｌｅｒ术，切开贲门肌层４～５ｃｍ，胃底浆肌层１．５～２．０ｃｍ，３例加胃底折叠术。１２例术后恢复顺利，１例并发食管胸膜瘘。均治愈。术后近期吞咽困难和呕吐消失。获随访１１例，随访时间６个月～８年，９例症状消失，无复发，２例症状改善，进生冷食物或进食快时仍有呕吐。食管吞钡Ｘ线检查９例，７例通过顺利，无返流，１例有返流，１例贲门口仍有狭窄。Ｈｅｌｌｅｒ术治疗小儿贲门痉挛有较好的效果。
Surgical treatment of pediatric cardia spasm in 13 cases. 5 months old to 14 years old. The shortest cardia stenosis 2cm, the longest 4cm. Line Heller surgery, incisional cardia muscle 4 ~ 5cm, gastric myometrial 1.5 ~ 2.0cm, 3 cases plus fundoplication. Twelve patients recovered smoothly and one patient had esophageal pleural fistula. All cured. Recent dysphagia and vomiting disappeared. Eleven cases were followed up for 6 months to 8 years, 9 cases disappeared, no recurrence, 2 cases improved symptoms, intake of cold food or fasting still vomiting. Esophageal barium swallow X-ray examination in 9 cases, 7 cases passed without reflux, 1 case of reflux, 1 case of cardia still stenosis. Heller surgery cardial spasm in children with better results.