胃食管反流病合并食管裂孔疝患者行腹腔镜手术治疗的疗效报告

Efficacy of laparoscopic surgery on patients with gastroesophageal reflux disease and hiatal hernia

目的探讨胃食管反流病合并食管裂孔疝患者行腹腔镜手术治疗的临床效果及安全性。方法对89例胃食管反流病合并食管裂孔疝患者的临床资料进行回顾性分析,将行腹腔镜手术治疗的52例患者作为观察组,将行开腹手术治疗的37例患者作为对照组,对比两组手术时间、术中出血量、住院时间、术后胃肠道功能恢复情况等。结果观察组手术时间、术中出血量、术后住院时间、胃肠道功能恢复时间、抗生素使用时间、并发症发生率均低于对照组(P<0.05);观察组术后5个月患者RDQ各症状评分均低于对照组,差异显著(P<0.05)。结论胃食管反流病合并食管裂孔疝患者行腹腔镜手术治疗效果确切,具有创伤小、术中出血量少等优势,利于减少术后并发症发生率,缩短住院时间,是一种安全、可靠的治疗方式。

Objective To explore the clinical efficacy and safety of laparoscopic surgery in the patients with gastroesophageal reflux disease and hiatal hernia. Methods Clinical data of 89 patients with gastroesophageal reflux disease and hiatal hernia were retrospectively analyzed, 52 patients were treated with laparoscopic surgery as the observation group, 37 patients were treated with laparotomy as the control group. The operation duration, intraoperative blood loss, hospital stay and postoperative recovery of gastrointestinal function in two groups were compared. Results The operation time, intraoperative blood loss, hospital stay, postoperative recovery duration of gastrointestinal function, antibiotics consumption and complication rate in the observation group were lower than those in the control group (P < 0.05). Symptom scores of RDQ of patients in the observation group 5 months after the operations were lower than those in the control group, and the differences were significant (P < 0.05). Conclusions The laparoscopic surgical treatment applied on the patients with gastroesophageal reflux disease and hiatal hernia had certain advantages including small-size trauma, less intraoperative blood loss, lower complication rate and shorter hospital stay. It was a safe, reliable and promising therapy for patients with gastroesophageal reflux disease and hiatal hernia.