CAJ | 학술논문

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。
목적：탐토식관렬공산적복강경수술치료배합항반류수술치료적림상효과이급안전성。방법대아원자2009년1월～2012년1월적50례식관렬공산환자진행복강경수술연합항반류수술，채용시각모의적분적방법대환자위식관반류증상진행평개장평개결과유전문인원진행조사기록。결과환자진행Toupet술적유13례、Nissen술11례이급Dor술26례，환자진행수술적평균시간위123min，수술후주원수양적평균시간위4d。재대환자진행6～24개월적술후조사시발현，유3례환자재술후병상복발。위식관반류증상진행시각모의적분，술전이급술중득분위5분，술후득분위1분。결론식관렬공산적복강경수술치료배합항반류수술치료적림상효과현저，치득엄범추엄사용。
ObjectiveTo investigate the clinical effects and safety for treating the hiatal hernia through laparoscopic surgery with antireflux procedure.MethodsA 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 laparoscopic surgery with antireflux procedure can reach the outstanding clinical effects and is worth popularizing.