Myer C M, Ball W S, Bisset G S
Department of Otolaryngology and Maxillofacial Surgery, Children's Hospital Medical Center, Cincinnati, OH 45229.
Arch Otolaryngol Head Neck Surg. 1991 May;117(5):529-32. doi: 10.1001/archotol.1991.01870170075016.
Traditionally, the treatment of esophageal strictures in children has been done with mercury bougies in a prograde fashion or with Tucker dilators passed along a guide wire in a retrograde manner. An alternative approach has used a balloon dilatation catheter passed over a guide wire previously placed under fluoroscopic guidance. Over the past 5 years, this technique has been used in 43 procedures for both discrete and diffuse strictures. The interventions were performed in a total of 15 patients ranging in age from 8 months to 21 years. In all cases, there was improvement of the preceding symptoms following dilatation. This report details the experience with this technique at Children's Hospital Medical Center, Cincinnati, Ohio, emphasizing the indications, contraindications, and potential complications associated with balloon dilatation of esophageal strictures in children.
传统上，儿童食管狭窄的治疗采用顺行方式使用汞探条，或逆行方式沿导丝插入塔克扩张器。另一种方法是使用先前在荧光镜引导下放置的导丝上通过的球囊扩张导管。在过去5年中，该技术已用于43例治疗离散性和弥漫性狭窄的手术。共有15例年龄在8个月至21岁之间的患者接受了干预。在所有病例中，扩张后先前的症状均有改善。本报告详细介绍了俄亥俄州辛辛那提儿童医院医疗中心使用该技术的经验，重点阐述了儿童食管狭窄球囊扩张的适应证、禁忌证和潜在并发症。
