球囊扩张食管闭锁术后吻合口狭窄的间隔时间

Interval of endoscopic balloon dilatation in children with strictures following repair of esophageal atresia

目的探究食管闭锁术后吻合口狭窄行球囊扩张术的适宜间隔时间。方法回顾性分析2016年04月—2018年2月的59例次食管闭锁术后吻合口狭窄的患儿行球囊扩张术的间隔时间及出现吞咽困难等症状,根据间隔时间将数据分为4组,A(1周)、B(2周)、C(3周)、D(4周),计算四组中吞咽困难等症状出现的发生率,应用χ~2检验进行统计学分析。结果①间隔1～3周时吞咽困难等的发生率发生率均较低,差异无统计学意义(P>0.05)。②间隔4周时较间隔1～3周的吞咽困难等发生率明显增高,差异有明显统计学意义(P<0.05)。结论两次扩张间隔适宜时间1-3周。

Objective To explore the appropriate interval for balloon anastomosis after anastomotic stenosis after congenital esophageal atresia.Methods There were 12 children with strictures following repair of esophageal atresia hospitalized in our unite from April 2016 to February 2018.Retrospective analysis of the interval of balloon dilatation and the occurrence of dysphagia in children suffered 59 dilatations.The data were divided into 4 groups according to the interval:A(1 week),B(2 weeks),C(3 weeks),D(4 weeks),the incidence of symptoms such as dysphagia in the four groups was calculated,and statistical analysis was performed used the 2 test.Results The probability of symptoms in the ABC groups was smaller than that in the D group(20.00%,15.00%,17.60%,66.67%;P<0.05),the difference was not statistically significant.Three groups were compared with group D respectively,the difference was statistically significant(P<0.05).Conclusion The two expansion intervals are suitable for 1-3 weeks.