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目的 探讨婴幼儿先天性膈疝的诊断方法和外科治疗效果。方法 回顾性分析近 10年来收治的 18例婴幼儿先天性膈疝病例 ,通过X线吞钡动态透视确诊。食管狭窄采用纵切横缝治疗 ,并将膈肌切口折叠交叉缝合于食管前后 ,做成人工膈肌角。另采用Belsey方法行His角成形 ,防止术后食物反流。结果 本组无死亡病例 ,均痊愈出院。术后随访 1～ 5年无其他并发症。结论 动态下行X线钡餐透 ,视对诊断婴幼儿先天性膈疝有决定性帮助。手术是治疗食管狭窄及膈疝所引起呕吐的唯一方法。His角成形对防止术后远期食物反流有良好的作用
Objective To investigate the diagnosis and surgical treatment of congenital diaphragmatic hernia in infants and young children. Methods Retrospective analysis of 18 cases of congenital diaphragmatic hernia admitted in the past 10 years, confirmed by X-ray dynamic barium swallow. Esophageal stricture transverse slitting treatment, and the diaphragm incision folded suture cross in the esophagus before and after, made of artificial diaphragmatic angle. Another use of Belsey line His angle forming, to prevent postoperative reflux food. Results This group no deaths, were cured and discharged. Follow-up 1 to 5 years without other complications. Conclusions Dynamic descending X-ray barium meal is a decisive aid in the diagnosis of congenital diaphragmatic hernia in infants and children. Surgery is the only cure for esophageal stenosis and vomiting caused by diaphragmatic hernia. His angle forming to prevent postoperative long-term food reflux has a good effect