磁压榨技术治疗小儿食管闭锁和狭窄的临床应用探索
Clinical applications of magnetic compression technology for children with esophageal atresia and esophageal stenosis
摘要食管闭锁是常见且严重的新生儿出生缺陷。传统手术创伤大、术后并发症发生率高。磁压榨技术用于胃肠道吻合、胆道狭窄再通临床报道较多,吻合优势明确,但用于食管闭锁/狭窄,国内外病例报道有限。本文通过分析磁压榨技术治疗小儿食管闭锁/狭窄的国内外文献,结合多年磁外科研究的经验积累,提出了内镜下磁压榨技术治疗小儿食管闭锁/狭窄的手术操作路径及操作步骤,并就该技术的可行性、适应证、磁体的选用和术后再狭窄的预防等关键临床问题进行分析讨论。
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abstractsEsophageal atresia is a common and severe neonatal defect. Traditional surgery causes great trauma and has a high incidence of postoperative complications. Magnetic compression technique has been employed for gastroenteric anastomosis. Many clinical reports dealt with the recanalization of biliary stricture and the advantages of anastomosis are diverse. However, domestic and international applications of magnetic compression technique are rather limited for pediatric esophageal atresia/stenosis. Specific operative routes and handling procedures were proposed. Also the feasibility, indications, selection of magnets and prevention of restenosis were explored.
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