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目的 探讨小儿食管碱烧伤瘢痕狭窄采用回结肠代食管手术治疗的适应证和术后并发症的处理。方法 采用胸骨后径路、回结肠代食管术治疗小儿食管碱烧伤瘢痕狭窄 13例。 结果 13例均无术中和术后死亡。术后发生颈部吻合口瘘 2例 ,吻合口狭窄 3例。随访 11例 ,随访时间 2 3～ 4 0个月 ,平均 3 6个月 ,除 1例偶有呕吐外 ,其余10例进食和生长发育均正常。 结论 采用回结肠代食管术治疗小儿食管碱烧伤瘢痕狭窄是一种有效的方法。
Objective To investigate the indications for the treatment of pediatric esophageal alkali burn with stenosis and esophageal surgery and the treatment of postoperative complications. Methods Thoracotomy and retroperitoneal esophagectomy were performed in 13 cases of esophageal alkali scar scars. Results None of the 13 patients died of intraoperative or postoperative death. Anastomotic leakage occurred in 2 cases and anastomotic stenosis in 3 cases. All the patients were followed up for 11 months. The follow-up time ranged from 23 months to 40 months, with an average of 36 months. Except 1 case of occasional vomiting, the other 10 cases had normal eating and growth. Conclusion The treatment of pediatric esophageal alkali burn with suture of esophageal anastomosis is an effective method.