Loading…
skip to main content
Logo

小儿胃底折叠术

ID: ANH13096chis
医学动画文字记录:儿童胃食管反流病(GERD)是一种液体从胃反流到食管的疾病。食管是连接口腔和胃的肌肉管。食管穿过一块称为横膈膜的肌肉,横膈膜把胸部和腹部分开。食管通过称为食管裂孔的洞穿过横膈膜。食管壁与胃相连处的肌肉层略增厚。这些肌肉层与部分横膈膜结合,形成食管下括约肌。正常情况下,当儿童吞咽食物时,食管下括约肌会舒张,让食物通过。然后,食管下括约肌收缩,以防止食物从胃反流到食管。有时,即使没有吞咽,食管下括约肌也会舒张,使得胃内的食物返回食管。这种情况称为胃食管反流,可能没有症状或只有轻微的胃灼热。然而,如果反流很严重,经常发生,并导致更严重的症状,就会发生胃食管反流病(GERD)。如果食物反流到食管,胃酸与食物混合会引起食管刺激。如果食物一直反流到食管上方,到达喉,然后进入呼吸道,就会产生呼吸道刺激和感染。即使反流是正常的,也需要进行胃底折叠术治疗GERD。在手术前,要进行全身麻醉,使患儿在手术过程处于睡眠状态。在手术过程中,经鼻腔或口腔进行气管插管,以帮助患儿呼吸。通常,医生会在肚脐附近或上腹部左右两侧做五个小切口,然后插入用于通过相机和手术器械的管子。接下来,医生会仔细地找到靠近胃入口的食管下括约肌。用缝线收紧食管裂孔,以防止胃滑入胸腔。用括约肌的外部包裹胃的顶部或底部。将包裹的胃底缝合到胃上,形成一个瓣,使括约肌收紧和加强。胃底折叠术瓣有助于防止胃内容物反流回食管。在某些情况下,医生可能会插入一根饲管(也称为胃造口管)到患儿胃直到括约肌根部。食物通过这根管道进入到胃里,并排出滞留的空气。最后,医生用可溶解缝合线或皮肤闭合条缝合切口。手术结束后,患儿被带到恢复室(手术室的特别病房)进行监护。医生会给患儿使用止痛药,并可能继续静脉注射抗生素。1~3天,患儿就可以出院了。如果患儿带有饲管,会在正常进食后拔除。

Nucleus Medical Media Disclaimer of Medical and Legal Liability

Nucleus Medical Media ("Nucleus") does not dispense medical or legal advice, and the text, illustrations, photographs, animations and other information ("Content") available on this web site is for general information purposes only. As with any medical or legal issue, it is up to you to consult a physician or attorney for professional advice. YOU SHOULD NOT DISREGARD PROFESSIONAL MEDICAL OR LEGAL ADVICE BASED ON CONTENT CONTAINED ON THIS WEB SITE, NOR SHOULD YOU RELY ON THE CONTENT ON THIS WEB SITE IN PLACE OF PROFESSIONAL MEDICAL OR LEGAL ADVICE.

NUCLEUS DISCLAIMS ALL RESPONSIBILITY AND LIABILITY FOR ANY COUNSEL, ADVICE, TREATMENT, DIAGNOSIS OR ANY MEDICAL, LEGAL OR OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN BASED ON VIEWING THE CONTENT OF THIS SITE. THE INFORMATION ON THIS WEB SITE SHOULD NOT BE CONSIDERED COMPLETE OR SUITABLE FOR ANY PURPOSE WHATSOEVER.

Mature Content Disclaimer: Certain Content on this web site contains graphic depictions or descriptions of medical information, which may be offensive to some viewers. Nucleus, its licensors, and its suppliers disclaim all responsibility for such materials.

close