摘要
目的探讨腹腔镜下生物补片修补联合胃底折叠应用于治疗食管裂孔疝并胃食管反流病的疗效。方法回顾性分析2021年1月至2022年12月湖南省第二人民医院完成的161例腹腔镜食管裂孔疝生物补片修补联合胃底折叠手术治疗食管裂孔疝并胃食管反流病患者的临床资料。结果161例腹腔镜食管裂孔疝修补联合胃底折叠术均顺利完成,手术时间(92.2±20.1)min,手术中出血量(31.0±10.4)ml,手术后住院时间(5.6±1.5)d,术后反酸症状均较术前缓解,术后早期吞咽困难3例,药物治疗及指导饮食3周后痊愈。出院后156例患者获随访,时间4~24个月,随访率97%,其中151例患者临床症状消失,5例偶有反酸、烧心,无临床复发病例。结论腹腔镜下生物补片修补联合胃底折叠应用于治疗食管裂孔疝并胃食管反流病近期疗效良好。
Objective To explore the efficacy of laparoscopic biological patch repair combined with gastric fundus folding in the treatment of esophageal hiatal hernia complicated with gastroesophageal reflux disease.Methods A retrospective analysis was conducted on the clinical data of 161 cases of laparoscopic esophageal hiatal hernia with biological patch repair combined with gastric fundus folding surgery treated at Hunan Second People's Hospital from Jan 2021 to Dec 2022.Results All 161 cases of laparoscopic esophageal hiatal hernia repair combined with gastric fundus folding surgery were successfully completed,with an operation time of(92.2±20.1)min,intraoperative bleeding volume of(31.0±10.4)ml,postoperative hospital stay of(5.6±1.5)d,and postoperative acid reflux symptoms were alleviated.Three cases had difficult swallowing early after surgery,and they recovered after 3 weeks of medication treatment and dietary guidance.After discharge,156 patients were followed up for a period of 4 to 24 months,with a follow-up rate of 97%.Among them,151 patients had no more clinical symptoms,5 had occasional acid reflux and heartburn,and there were no clinical recurrence cases.ConclusionLaparoscopic biological patch repair combined with gastric fundus folding used for the treatment of hiatal hernia combined with gastroesophageal reflux disease is successful,and the short-term therapeutic effect is promising.
作者
周小兵
何恒正
周艳
李冰心
Zhou Xiaobing;He Hengzheng;Zhou Yan;Li Bingxin(Gastroesophageal Reflux Disease Center,the Second People's Hospital of Hunan Province(Brain Hospital of Hunan Province),Changsha 410021,China;Department of Gerneral Surgery,People's Hospital of Hunan Province,Changsha 410005,China)
出处
《中华普通外科杂志》
北大核心
2025年第9期696-699,共4页
Chinese Journal of General Surgery
基金
吴阶平医学基金会临床科研专项资助基金(320.6750.2022-07-5)。
关键词
疝
食管裂孔
腹腔镜
生物补片
疝修补术
Hernia,hiatal
Laparoscopes
Biological patch
Herniorrhaphy
