食管闭锁重建术后食管功能评估的现状与发展

食管功能异常是食管闭锁(esophageal atresia,EA)患者食管重建术后常见的问题。术后食管功能的恢复或改善对患者生活质量至关重要。随着近年国内EA治愈率的提高,人们开始关注患者术后并发症情况,尤其是术后食管功能的恢复问题。食管功能异常的影响因素众多,不仅与术前既有食管状态有关,同时与手术创伤、术后并发症及形态亦有很大关系。但目前术后食管功能评价体系仍不健全,没有形成有效合理的治疗策略。本文通过总结国内外EA术后食管功能异常的病理生理基础、临床表现、评估手段及治疗经验等,进一步明确食管功能异常相关因素,为探索有效完整且公认的评价体系及治疗策略提供参考依据。

Current status and future development of esophageal function after a reconstruction of esophageal atresia

Esophageal dysfunction is a common problem after esophageal reconstruction in children with esophageal atresia.Recovery or improvement of postoperative esophageal function is critical for quality-of-life.With the improved cure rate of esophageal atresia in recent years,pediatric surgeons have begun to focus upon the complications and recovery of esophageal function.Many influencing factors of esophageal dysfunction are not only related with preoperative esophageal status,but also surgical trauma,postoperative complications and morphologies.Postoperative evaluation system of esophageal function has remained imperfect and no effective and rational treatment strategy is available.This review intends to summarize the pathophysiological fundamentals,clinical manifestations,assessment methods and treatment experiences of esophageal dysfunction.And the authors try to clarify the factors related with esophageal dysfunction and provide rationales for exploring effective and complete evaluation systems and treatment strategies.