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1993～1994年作者对8例食管狭窄的患儿在 X线下行食管气囊导管扩张治疗。年龄2个月～14岁。狭窄原因:腐蚀性食管损伤胃食管重建术后吻合口狭窄1例,化学性烧伤1例,伴气管食管瘘的食管闭锁术后3例,不伴气管食管瘘的食管闭锁术后1例,反流性食管炎1例,腐蚀性食管损伤结肠间置术后1例。患儿术前均行食管钡剂检查,了解狭窄的情况以挑选合适直径的气囊导管。术前禁食。经口或经静脉给镇静剂或用全麻。在 X 线下经口或经鼻置管,也可经胃造瘘口逆行置管。将血管造影用的导引钢丝穿过狭窄处,将不同直径的 Gruntzig 气囊导管伸至狭窄处。将不透 X 线的造影剂注入气囊,在 X 线监视下
From 1993 to 1994, 8 patients with esophageal stricture underwent esophageal balloon catheterization under X-ray. 2 months old to 14 years old. Causes of stenosis: Corrosive esophageal injury in 1 case of anastomotic stricture after gastroesophageal reconstruction, chemical burn in 1 case, esophageal atresia with tracheal esophageal fistula in 3 cases, esophageal atresia without tracheal esophageal atresia in 1 case, anti 1 case of esophagitis, 1 case of corrosive esophageal injury after colon interposition. Children undergone esophageal barium examination before surgery to understand the narrow situation to select the right diameter balloon catheter. Preoperative fasting. Oral or intravenous to sedatives or general anesthesia. Oral or nasal catheterization in the X-ray, but also by retrograde gastrostomy tube. The guide wire for angiography was passed through the stenosis and the Gruntzig balloon catheters of different diameters were extended to the stenosis. Incompatible X-ray contrast agent into the balloon, under X-ray monitoring