食管裂孔疝的腹腔镜手术治疗

Laparoscopic surgery for hiatal hernia

目的探讨食管裂孔疝的腹腔镜手术治疗配合抗反流手术治疗的临床效果以及安全性。方法对我院自2009年1月～2012年1月的50例食管裂孔疝患者进行腹腔镜手术联合抗反流手术，采用视觉模拟积分的方法对患者胃食管反流症状进行评价将评价结果有专门人员进行调查记录。结果患者进行Toupet术的有13例、Nissen术11例以及Dor术26例，患者进行手术的平均时间为123min，手术后住院修养的平均时间为4d。在对患者进行6～24个月的术后调查时发现，有3例患者在术后病状复发。胃食管反流症状进行视觉模拟积分，术前以及术中得分为5分，术后得分为1分。结论食管裂孔疝的腹腔镜手术治疗配合抗反流手术治疗的临床效果显著，值得广泛推广使用。

Objective To investigate the clinical effects and safety for treating the hiatal hernia through laparoseopie surgery with antireflux procedure. Methods A total of 50 cases of patients in our hospital with hiatal hernia from January 2009 to January 2012 were remedied through laparoscopic surgery combined with antireflux surgery,And gastroesophageal reflux symptoms were evaluated with visual analogue integrator, which was recorded by specialized personnel. Results In 13 cases of Toupet therapy,11 cases of N issen therapy and 26 cases of Dor therapy,the average time of surgery in patients were 123 minutes and the length of stay were 4 days after operation.It was found there were three patients in the postoperative recurrence of symptoms during the 6-24 months after surgery. In the visual analog integration,the evaluation score was 5 before surgery and it was 1 during operation. Conclusion The laparoseopic surgery with antireflux procedure can reach the outstanding clinical effects and is worth popularizing.