腹腔镜治疗小儿贲门失弛缓症20例

目的：探讨腹腔镜治疗小儿贲门失弛缓症的临床安全性及可行性。方法回顾性分析2009年1月至2013年12月，新疆维吾尔自治区人民医院收治的20例贲门失弛缓症患儿临床资料，对患儿诊治过程中术前诊断、手术方式、恢复情况、术中术后并发症进行总结分析。结果腹腔镜治疗小儿贲门失弛缓症的20例患儿平均手术时间90 min，平均术中出血10 ml，术后观察1周，进食普食后未见有吞咽困难，未见有呕吐的情况。术后随访2-6个月，未见有复发，营养得到改善，生活质量提高，家属满意。结论腹腔镜治疗小儿贲门失弛缓症术中损伤小，并发症少，术后恢复好，安全，具有可行性，对改善患儿营养状况提高生活治疗具有重要意义。

20 cases of laparoscopic treatment for esophageal achalasia in children

Objective To investigate the safety and feasibility of laparoscopic treatment for esophageal achalasia in children.Methods A total of 20 cases of esophageal achalasia in children who were admitted to Xinjiang Uygur Municipal People′s Hospital,were enrolled and analyzed retrospectively. Preoperative diagnosis,operation methods,recovery,intraoperative and postoperative complications of these patients were summarized.Results The mean operating time for laparoscopic treatment was 90 minutes, and the average blood loss was 1 0 ml.At 1 week after surgery,neither dysplasia nor vomiting to general diet occurred.After a follow-up of 2 to 6 months, no recurrence was found. Conclusion Laparoscopic treatment for esophageal achalasia in children has the advantage of less trauma and complications,is a safe and feasible procedure,which can improve patients′s nutrition status and quality of life.