摘要: |
食管裂孔疝合并肥厚性幽门梗阻患儿2例,2例患儿均有反复呕吐伴体重不增。2例患儿入院后均行手术治疗:经腹部手术,修补食管裂孔,胃底折叠抗反流,探查幽门部明确存在肥厚性幽门梗阻(表现为幽门部肌层发白、质地硬),行幽门环肌切开、让粘膜膨出梗阻。术后呕吐症状消失、进食好、体重增加,术后复查上消化道造影见:食管裂孔疝征象消失、食管无狭窄、无明显胃食管反流,无幽门梗阻。手术治疗效果好 |
关键词: 婴儿 食管裂孔疝 肥厚性幽门梗阻 |
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Surgical treatment of 2 cases of esophageal hiatal hernia complicated with hypertrophic pyloric obstruction in infants |
zhang hong
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Kunming childen's Hospital
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Abstract: |
Esophageal hiatal hernia complicated with hypertrophic pyloric obstruction in 2 children,there was repeated vomiting with no weight gain。All the 2 patients underwent surgical treatment: abdominal operation, repair of esophageal hiatal, fundoplication, anti reflux, exploration of the pylorus, clearly exist hypertrophic pyloric obstruction.. Pylorus ring muscle incision to relieve obstruction. The effect of surgical treatment is good |
Key words: Infants Hiatal hernia Hypertrophic pyloric obstruction |