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目的对８例小儿先天性复杂膈疝的诊断和外科治疗。方法通过动态吞钡透视明确对该病的诊断；采用纵切横向单层缝合解决食管狭窄的问题；将膈肌切口两侧缘于食管前后折叠交叉缝合，做成人工膈肌角；另外行Ｈｉｓ角成型采用ＢｅｌｓｅＹ方法，以防止术后食物返流。结果该组病例无一例死亡。术后１～３年随诊无其它并发症发生。结论该病合并食管狭窄者，临床出现症状较早且重，合并膈疝者临床症状出现较晚且轻。动态下行钡餐透视对诊断有决定性的帮助。手术是解决食管狭窄及膈疝引起呕吐的唯一方法。食管裂孔及Ｈｉｓ角的成形对防止术后远期食物返流有良好的作用
Objective To diagnose and surgical treatment of congenital complex diaphragmatic hernia in 8 children. Methods The diagnosis of this disease was confirmed by dynamic barium swabbing. The transverse suture was used to solve the problem of esophageal stenosis. The sides of the diaphragmatic incision were folded and cross-stitched before and after the esophagus to make the artificial diaphragmatic angle. BelseY method to prevent postoperative reflux food. Results None of the patients in this group died. Follow-up 1 to 3 years after operation without other complications. Conclusion The disease with esophageal stenosis, clinical symptoms earlier and heavier, with clinical manifestations of diaphragm hernia appeared late and light. Dynamic downstream barium meal fluoroscopy has a decisive help for the diagnosis. Surgery is the only solution to esophageal stenosis and vomiting caused by diaphragmatic hernia. The formation of esophageal hiatus and His angle has a good effect on preventing postoperative long-term food reflux