食管裂孔疝术中迷走神经保护的必要性及解剖学探讨

Discussion about the necessity and anatomy of vagus nerve protection in hiatal hernia

食管裂孔疝分为4型,其中Ⅰ型滑动疝最常见,发病率随年龄增长而升高。目前国内外学者倾向于手术治疗食管裂孔疝,但是对于此类功能性手术,需要兼顾疗效和神经保护。因而对术者提出了更高要求,故临床医师有必要掌握迷走神经解剖学走行及其与周围脉管系统的关系,明确保留迷走神经的必要性,为食管裂孔疝的精准治疗提供依据。本文就食管裂孔疝术中迷走神经保护及解剖学走行作一简述。

There are four types of hiatal hernia,among which typeⅠsliding hernia is the most common and its incidence increases with age.At present,domestic and foreign scholars tend to treat hiatal hernia by surgery,but for this kind of functional surgery,both curative effect and neural protection are needed,so higher requirements are put forward for operators.Therefore,it is necessary for clinicians to master the vagus neuroanatomy and its relationship with the peripheral vascular system and identify the necessity of preserving vagus nerve,so as to provide a basis for accurate treatment of hiatal hernia.Therefore,this article reviews the protection and anatomy of vagus nerve in hiatal hernia during the operation.