[儿童贲门失弛缓症的诊断与治疗]

[Diagnosis and treatment of esophageal achalasia in children].

作者信息

Krivchenia D Iu, Almashiĭ G G, Iurchenko N I, Dubrovin A G, Brusilovskaia G A, Palkina I S

出版信息

Grud Serdechnososudistaia Khir. 1990(3):45-8.

Abstract

The article shows the results of diagnosis and treatment of achalasia of the esophagus in 21 children aged from 20 months to 15 years. Radiological examination with the use of the nitroglycerin test was highly informative and authentic in all cases. To evaluate the condition of the esophagus, additional endoscopic and esophagomanometric examination is necessary. From analysis of the results of drug therapy in all patients, operative in 13, and pneumocardiodilatation in 7 children it was found that treatment of achalasia of the esophagus in children should begin with forced pneumodilatation. Modified Heller's operation with fundoplication produces good results.

摘要

本文展示了21名年龄在20个月至15岁之间的儿童食管失弛缓症的诊断和治疗结果。在所有病例中，使用硝酸甘油试验的放射学检查具有很高的信息量和可靠性。为评估食管状况，有必要进行额外的内镜检查和食管测压检查。通过分析所有患者的药物治疗结果（13例手术治疗，7例儿童进行气囊扩张术）发现，儿童食管失弛缓症的治疗应从强制气囊扩张术开始。改良的贲门肌层切开术加胃底折叠术效果良好。