带囊导管扩张术治疗儿童良性食管狭窄

Balloon catheter dilation of benign esophageal stenosis in children.

目的 评价儿童良性食管狭窄使用球囊扩张术治疗的疗效。方法 2 2例食管良性狭窄 ,其中 ,食管吻合术后吻合口狭窄 9例 ,食管化学性灼伤后狭窄 11例 ,Nisson术后食管下端狭窄 1例 ,胃管代食管术后胃管段狭窄 1例 ,用球囊扩张术治疗。结果 2 1例治愈 ,术后随访 6～ 30个月保持临床无症状 ,治疗效果满意。结论 本方法安全简单、安全易行又实用 。

Objective To evaluate the methods and effect of balloon catheter dilation of benign esophageal stenosis in children. Methods 9 cases had an anastomotic stenosis after surgical correction of esophageal atresia; 11 cases of esophageal stenosis due to ingestion of caustics; one case had an lower esophageal stenosis after Nissen surgery and one case after gastroesophagoplasty. Age ranged from 17 days to 7 years. Each case had a barium esophagram before balloon dilation. The balloon size varied from 3 to 10 mm in diameter. Results 21 cases were successful after dilation of balloon catheter. There were no esophageal perforation and complications. The satisfactory results maintained from six months to thirty months. Conclusions Balloon catheter dilation is a simple、safe and reliable method for the treatment of benign esophageal strictures in children as the first choice.