先天性膈肌发育缺陷疾病的修复问题

SURGICAL REPAIR OF CONGENITAL DEFORMITIES OF DIAPHRAGM IN INFANTS AND CHILDREN

先天性膈肌发育缺陷疾病包括①食管裂孔疝;②先天性膈疝;③膈膨升。报道51例患儿的诊治经验,介绍不同的膈肌发育缺陷疾病,各自不同的病理解剖特点。强调在手术修复中按照其病理解剖及病理生理特点,选用正确术式以提高疗效。

Congenital deformities of the diaphragm include (1) Hiatus hernia; (2) Congenital diaphragmatic hernia; (3) Eventration of deaphragm. Fifty-one cases were seen by the authors in the past 30 years. Each type of the pathologic feature and the experiences in the surgical repair were suggested in this paper. Choice of an appropriate surgical procedure on the basis of its pathoanatomic and pathophysiologic features was emphasized in order to enhance the efficacy of treatment.