小儿食管良性狭窄的诊断与外科治疗

Diagnosis and Surgical Treatment of Benign Esophageal Stricture in Children

小儿食管良性狭窄２６例，经手术、病理证实属气管软骨迷入型１６例（６１．５％），胃粘膜异位型２例（７．７％），肌层增生肥厚型３例（１１．５％），Ａｌｌｉｓｏｎ－Ｊｏｈｎｓｔｏｎ狭窄合并食管裂孔疝及返流者４例（１５．４％），Ｓｃｈａｔｚｋｉ纤维环性狭窄１例（３．９％）。由于病因和狭窄程度不同，诊治方法各异。结合本组病例特点，就诊断与外科治疗问题进行讨论。

Twenty-six children with benign esophageal stricture were reported. There were 16 children (61. 5%) with gastric type epithelium. 2 (7.7%) with ectopic bronchial cartilage, 3 (11. 5%) with muscular hypertrophy, 4 (15.4%) with Ailison- Johnston stricture, and 1( 3. 9 % ) with Schatzki stricture. 24 cases were male and 2 were female. The patient's age ranged from 9 months to 11 years. The clinical features inclpded: 1) progressive vomiting and difficult swallowing, 2)'rat tail' sign in X-ray, 3) white circular stricture of esophagus at exploration. The stricture can be treated by axial incisionand cross closure or by excision of the stricture and endto-end anastomosis.