新生儿食道裂孔疝附加Toupet术诊治体会

Additive Toupet fundoplication for hiatus hernia in neonates: experience of 6 cases

目的：探讨新生儿食道裂孔疝附加抗反流手术的方法和效果。方法对6例新生儿食道裂孔疝患儿的诊治情况进行总结和分析。结果6例患儿手术顺利，术后痊愈出院。随访3～6个月，体重明显增加。结论重症新生儿食道裂孔疝应尽早手术，同期附加Toupet手术，效果良好。

Objective To explore the methods and effect of additive antireflux surgery in the treatment of hi -atus hernia （ HH） in neonates .Methods Six neonates with HH accepted surgical repair and Toupet fundoplication procedure in Kunming children′s hospital were reviewed （4 male, 2 female）.Results All procedures were carried out smoothly without serious compication .Six cases did well during follow-up.Conclusion Early surgical repair and Toupet fundoplication procedure is still the main procedure for neonates with severe HH , which can reach satisfactory effect.