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为了回顾和评价先天性食管旁疝各种术式的治疗效果,总结近十余年中经手术治疗的食管旁疝2例。患儿男15例,女5例,年龄3天~6.5岁。本组半数误诊为肺脓肿或其他疾病。治疗结果:2例行Belsey术,均复发;15例行Nissen术,术后1例折叠过紧,1例并发回肠套叠,3例食管下段轻度狭窄,余11例随访2~10年,2例有折叠部分疝出;Thal手术2例,近期效果好。由于该病易发生胃扭转或嵌顿,确诊后应立即手术。应注意防治Nissen手术后发生折叠过紧及滑脱等并发症,Thal术的近期疗效好。
In order to review and evaluate the therapeutic effect of various surgical methods of congenital esophageal hernia, we summarize 2 cases of esophageal hernia treated surgically in the last ten years. 15 cases of children with males and 5 females, aged 3 days to 6.5 years. Half of this group misdiagnosed as lung abscess or other diseases. Treatment results: 2 cases of Belsey surgery, were recurrent; 15 cases of Nissen surgery, 1 case of tight fold after surgery, 1 case complicated by ileal intussusception, 3 cases of mild esophageal stenosis, 11 cases were followed up for 2 to 10 years, 2 cases had folds hernia; Thal operation in 2 cases, the recent effect is good. Because of the disease prone to stomach twist or incarcerated, diagnosed immediately after surgery. Should pay attention to the prevention and treatment of Nissen surgery occurred after folding tight and slippage and other complications, Thal surgery has a good short-term effect.