先天性食管闭锁手术后吻合口狭窄的介入治疗

目的 报道13例先天性食管闭锁术后食管吻合口狭窄婴儿使用球囊扩张术治疗。方法 13例患儿均为食管闭锁术后吻合口狭窄，年龄为3～10个月，球囊扩张前均先行食管吞钡检查，显示狭窄段内径仅1～3mm。采用球囊导管分次扩张。所用球囊直径6～12mm。结果 每例经2～3次扩张，13例共进行球囊扩张30次，扩张后疗效明显，保持临床无症状期6～30个月，无食管穿孔并发症。结论 球囊扩张术简单、安全、有效，为婴儿先天性食管闭锁手术后吻合口狭窄的首选疗法。

Interventional therapy for post-anastomotic stenosis in congenital esophageal atresia

Objective To report the results of balloon catheter dilation in 13 infants with anastomotic stenosis after surgical correction of esophageal atresia. Methods Thirteen cases of anastomotic stenosis after surgical correction of esophageal atresia were enrolled, age ranging from 3 to 10 years. Barium esophagography before balloon dilation showed the diameter of esophageal stenosis ranging 1 to 3 mm and the stenosis was dilated by using balloons of 6 to 12 mm diameter. Results All the 13 cases obtained complete resolution of the stenosis after dilation for twice or thrice. There was no esophageal perforation or other complications with a period of clinical symptomless of 6 to 30 months. Conclusions Ballon catheter dilation is a simple, safe and reliable method for treating anastomotic esophageal stenosis in infants.