CAJ | 학술논문

目的：评价胃镜直视下球囊扩张治疗先天性食管闭锁修复术后吻合口狭窄的安全性及疗效。方法回顾性分析2006年6月至2013年6月期间我院收治的59例先天性食管闭锁修复术后吻合口狭窄患儿临床资料，治疗的指征为不同程度的吞咽困难，观察指标包括吞咽困难改善情况、狭窄口大小、部位、扩张次数及合并症。根据末次治疗后6个月吞咽困难分级评估治疗效果，分为治疗显效、有效及无效。结果59例患儿共进行141次扩张，平均(2.4±1.9)次，平均初次扩张年龄(15.1±14.2)个月。随访时间6~92个月。疗效评价为显效46例(78.0%)，有效9例(15.2%)，无效4例(6.8%)。未发生扩张相关死亡事件。结论胃镜直视下球囊扩张是治疗先天性食管闭锁修复术后吻合口狭窄的首选的有效治疗方法，安全性高。
목적：평개위경직시하구낭확장치료선천성식관폐쇄수복술후문합구협착적안전성급료효。방법회고성분석2006년6월지2013년6월기간아원수치적59례선천성식관폐쇄수복술후문합구협착환인림상자료，치료적지정위불동정도적탄인곤난，관찰지표포괄탄인곤난개선정황、협착구대소、부위、확장차수급합병증。근거말차치료후6개월탄인곤난분급평고치료효과，분위치료현효、유효급무효。결과59례환인공진행141차확장，평균(2.4±1.9)차，평균초차확장년령(15.1±14.2)개월。수방시간6~92개월。료효평개위현효46례(78.0%)，유효9례(15.2%)，무효4례(6.8%)。미발생확장상관사망사건。결론위경직시하구낭확장시치료선천성식관폐쇄수복술후문합구협착적수선적유효치료방법，안전성고。
Objective To evaluate the safety and efficacy of endoscopic balloon dilatation in children with anastomotic strictures after a repair of congenital esophageal atresia.Methods From June 2006 to June 2013,59 children underwent balloon dilatation for anastomotic stricture after a repair of congenital esophageal atresia.Indication for dilatation was dysphagia of varying degree.The evaluation indices included age,anastomotic size and location,number of dilatations,response to dilatation and complications.Based on dysphagia assessment 6 months after the last dilatation,the efficacy was classified as better effect,effect and no effect.Results A total of 141 dilatations were performed with an average of 2.4±1.9 sessions.The age of the first dilatation was 15.1±14.2 months.follow-up time was 6-92 months.The outcomes were better effect (n=46,78.0%),effect (n=9,15.2%)and no effect (n=4,6.8%).There were no procedure-related mortalities. Conclusions Endoscopic balloon dilatation may be accomplished safely and effectively as a first-line therapy for anastomotic strictures after a repair of congenital esophageal atresia.