小儿食道裂孔疝的外科治疗

Surgical operation for children with hiatus hernia

目的 通过对 2 0例临床资料的回顾 ,对小儿食道裂孔疝的诊断、外科治疗作进一步的探讨。方法 1 991年 9月～2 0 0 2年 3月治疗食道裂孔疝 2 0例 ,男 1 4例 ,女 6例 ,年龄 4个月～ 4岁 ,主要根据X线钡餐检查诊断 :滑疝 1例 ,食管旁疝 1 1例 ,食道裂孔疝 8例。均行食道裂孔疝修补 ,1 9例加胃底悬吊术。结果 无手术死亡 ,术后随访 1～ 1 1年 ,术前症状均消失 ,生长发育良好 ,体重增加。结论 小儿食道裂孔疝应积极手术治疗 ,疝修补加胃底悬吊术操作简便 ,效果良好。

Objective To explore the surgical operation on hiatus hernia in children.Methods Twenty cases(14 males and 6 females) with hiatus hernia underwent surgical repair and the ages ranged from 4 months to 4 years.There were 1 sliding hernia,11 paraesophageal hernia and 15 hiatus hernia.Results No operative death.20 cases were followed up for 1 11 years.The preoperative symptoms disappeared in all of them.The growth of them was good.Conclusion Effective operation must be performed on children with hiatus hernia.Suspension of gastric fundus is simple.