中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
2014年
2期
121-124
,共4页
黄茂华%卞红强%梁翀%魏文琼%段栩飞%郑静%杨俊
黃茂華%卞紅彊%樑翀%魏文瓊%段栩飛%鄭靜%楊俊
황무화%변홍강%량충%위문경%단허비%정정%양준
内窥镜%气囊扩张术%十二指肠
內窺鏡%氣囊擴張術%十二指腸
내규경%기낭확장술%십이지장
Endoscopes%Balloon dilatation%Duodenum
目的 探讨胃镜下球囊扩张术治疗十二指肠膜式狭窄的疗效.方法 回顾分析我院2012年1至12月应用胃镜下球囊扩张术治疗十二指肠膜式狭窄4例病例,其中男2例,女2例,年龄4~37个月.均有呕吐病史.手术方法:胃镜直视下应用球囊扩张管,经十二指肠膜式狭窄隔膜孔,先用10mm直径球囊扩张管扩张隔膜,依次增加扩张管直径,直至隔膜完全扩开.结果 4例经胃镜下球囊扩张术均成功扩开隔膜,无出血、肠穿孔等并发症发生.随访6~16个月,4例患儿均正常进食,无呕吐、腹胀表现,生长发育正常.消化道碘水造影检查无狭窄表现,均显示通畅.结论 胃镜下球囊扩张术治疗十二指肠膜式狭窄,效果良好,值得进一步研究并加以推广.
目的 探討胃鏡下毬囊擴張術治療十二指腸膜式狹窄的療效.方法 迴顧分析我院2012年1至12月應用胃鏡下毬囊擴張術治療十二指腸膜式狹窄4例病例,其中男2例,女2例,年齡4~37箇月.均有嘔吐病史.手術方法:胃鏡直視下應用毬囊擴張管,經十二指腸膜式狹窄隔膜孔,先用10mm直徑毬囊擴張管擴張隔膜,依次增加擴張管直徑,直至隔膜完全擴開.結果 4例經胃鏡下毬囊擴張術均成功擴開隔膜,無齣血、腸穿孔等併髮癥髮生.隨訪6~16箇月,4例患兒均正常進食,無嘔吐、腹脹錶現,生長髮育正常.消化道碘水造影檢查無狹窄錶現,均顯示通暢.結論 胃鏡下毬囊擴張術治療十二指腸膜式狹窄,效果良好,值得進一步研究併加以推廣.
목적 탐토위경하구낭확장술치료십이지장막식협착적료효.방법 회고분석아원2012년1지12월응용위경하구낭확장술치료십이지장막식협착4례병례,기중남2례,녀2례,년령4~37개월.균유구토병사.수술방법:위경직시하응용구낭확장관,경십이지장막식협착격막공,선용10mm직경구낭확장관확장격막,의차증가확장관직경,직지격막완전확개.결과 4례경위경하구낭확장술균성공확개격막,무출혈、장천공등병발증발생.수방6~16개월,4례환인균정상진식,무구토、복창표현,생장발육정상.소화도전수조영검사무협착표현,균현시통창.결론 위경하구낭확장술치료십이지장막식협착,효과량호,치득진일보연구병가이추엄.
Objective To explore the efficacies of gastroscopic balloon dilation in the treatment of pediatric duodenal stenosis.Methods Four patients with duodenal stenosis from January 2012 to December 2012 were retrospectively analyzed.Duodenum was dilated by balloon under gastroscopy.Such complications as bleeding and intestinal perforation were observed.And the follow-up studies included clinical symptoms,dietary and growth (weight & height),follow-up gastroscopy and iodine water angiography.Results The diameters of duodenal diaphragm hole expanded from 12 to 16 mm.And neither retraction nor obstruction was observed during follow-up.All of them had a normal diet without vomiting or bloating.And their growth and development were similar to those of other sameage children.Conclusions Gastroscopic balloon dilation is an effective non-invasive treatment for pediatric duodenal stenosis patients.