食管裂孔疝全周期中西医结合治疗思路及典型案例

Ideas and typical cases of combined Chinese and Western medicine treatment for the whole cycle of esophageal hiatal hernia

食管裂孔疝是一种常见疾病,对于症状严重或药物治疗无效的患者,需要采用手术治疗,如腹腔镜下食管裂孔疝修补术和胃底折叠术。临床发现,在术前和术后应用中医治疗,疗效较为满意。在围手术期经过辨证,应用旋覆代赭汤及其加减方,可改善术前术后患者临床表现。通过中医治疗和手术治疗相结合,可以全方位改善患者的消化道结构与功能,缩短恢复时间,提高治疗效果。

Hiatal hernia is a common disease.For patients with severe symptoms or those who do not respond to medication,surgical treatments such as laparoscopic hiatal hernia repair and fundoplication are necessary.Clinical findings have shown that applying traditional Chinese medicine(TCM)treatments before and after surgery demonstrates good efficacy.Through syndrome differentiation,the use of Xuanfu Daizhe Tang and its modified formulas can improve the clinical manifestations of patients before and after surgery.Combining TCM treatments with surgical interventions can comprehensively improve the structure and function of the patient's digestive tract,shorten the recovery time,and enhance treatment outcomes.