Yin X J
Second Affiliated Hospital, China Medical University, Shenyang.
Zhonghua Wai Ke Za Zhi. 1992 Dec;30(12):738-9, 779.
From 1980 to 1989, 18 patients with esophageal achalasia had postoperative restricture. Inadequate myotomy was shown in 7 patients, scar constriction in 5, gastroesophageal reflux in 3, and paraesophageal hiatus hernia in 1. Seventeen patients underwent reoperation including modified myotomy (11), esophagastrotomy (4), operation for esophageal hiatus hernia (1), and cardioplasty combined with fundoplication (1). The causes of restricture, diagnostic methods, operative procedure and methods of precaution are discussed.
1980年至1989年期间，18例贲门失弛缓症患者术后出现狭窄。其中7例为肌层切开不充分，5例为瘢痕狭窄，3例为胃食管反流，1例为食管旁裂孔疝。17例患者接受了再次手术，包括改良肌层切开术（11例）、食管胃切开术（4例）、食管裂孔疝手术（1例）以及贲门成形术联合胃底折叠术（1例）。本文讨论了狭窄的原因、诊断方法、手术步骤及预防措施。
