CAJ | 학술논문

目的：分析探讨腹腔镜手术和传统手术治疗食管裂孔疝及胃食管反流性疾病的临床效果。方法：2013年1月～2014年1月我院收治食管裂孔疝及胃食管反流性疾病的患者50例，其中25例接受腹腔镜手术治疗，25例接受传统手术进行治疗，回顾性分析他们的临床资料，包括手术时间、术中出血量、术后住院时间等情况进行对比分析。结果：资料显示，接受腹腔镜手术的患者在手术时间、术中出血量、术后住院时间及术后并发症情况均明显好于接受传统手术治疗的患者，且P＜0.05，差异有统计学意义。结论：腹腔镜手术治疗食管裂孔疝和胃食管反流性疾病，与传统手术相比，具有疗效可靠、并发症少。
목적：분석탐토복강경수술화전통수술치료식관렬공산급위식관반류성질병적림상효과。방법：2013년1월～2014년1월아원수치식관렬공산급위식관반류성질병적환자50례，기중25례접수복강경수술치료，25례접수전통수술진행치료，회고성분석타문적림상자료，포괄수술시간、술중출혈량、술후주원시간등정황진행대비분석。결과：자료현시，접수복강경수술적환자재수술시간、술중출혈량、술후주원시간급술후병발증정황균명현호우접수전통수술치료적환자，차P＜0.05，차이유통계학의의。결론：복강경수술치료식관렬공산화위식관반류성질병，여전통수술상비，구유료효가고、병발증소。
[ABSTRACT]Objective: To explore the therapeutic effects of the laparoscopic surgery and traditional surgery treatment on hiatal hernia and gastroesophageal reflux disease.Methods:50 patients with hiatal hernia or gastroesophageal reflux disease in our hospital from January 2013 to January2014 were enrolled in this study. Among them 25 underwent laparoscopic surgery while 25 underwent traditional surgery treatment. A retrospective analysis of their clinical data, including operative time, blood loss, postoperative hospital stay, etc. were performed.Results:The analysis showed that patients undergoing laparoscopic surgery were significantly better than patients who received traditional surgery in respect of operative time, blood loss, postoperative hospital stay and postoperative complications (P<0.05).Conclusion:Compared with traditional surgery, laparoscopic surgery for hiatal hernia and gastroesophageal reflux disease shows preferable therapeutic efficacy, reliability and fewer incidences of post-operative complications.