手术治疗小儿贲门痉挛13例.年龄5个月～14岁.贲门狭窄最短2 cm,最长4 cm.行Heller术.切开贲门肌层4～5 cm,胃底浆肌层1.5～2.0 cm,3例加胃底折叠术.12例术后恢复顺利,1例并发食管胸膜瘘.均治愈.术后近期吞咽困难和呕吐消失.获随访11例,随访时间6个月～8年,9例症状消失,无复发,2例症状改善,进生冷食物或进食快时仍有呕吐.食管吞钡X线检查9例,7例通过顺利,无返流,1例有返流,1例贲门口仍有狭窄.Heller术治疗小儿贲门痉挛有较好的效果.%13 cases of cardiospasm were treated in 1985 to 1992.Their age ranged from 5 months to 14 years. Cardin segment were 2～4 cm in length. Heller's opration were performed on all cases. Longitudinal incision was made including the cardio-esophageal musculature for 4～5 cm and gastric seromusculaturs for 1.5～2.0 cm, to 3cases, Nisscn funduplication was added. Satisfactory resuits were abtained in 12 cases. One case was complicated by pleura-esophageal fistula. All cases were cured. Hard swallowing and vomiting disappeared after operation. Of the 13 cases, 11 patients were followed up for 0.5 to 8 years. There was no recurrence in 9 cases. The last 2markedly improved except occasional vomiting when eating colds and swallowing too quickly. 9 cases were examined by Barium meal, 7 were normal. There were reflux in one case and stricture in another.
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