CAJ | 학술논문

目的：探讨腹腔镜下Heller肌切开+Dor胃底折叠术治疗贲门失弛缓症的临床价值。方法：对1999年5月-2013年5月本院收治的16例贲门失弛缓症患者施行腹腔镜Heller肌切开联合Dor胃底折叠术，进行回顾性统计分析。结果：手术平均时间（105.2±25.6）min，术中平均出血（32.3±12.0）mL。其中术中食管黏膜穿破2例；反流性食管炎2例；1例仍有轻度吞咽困难。手术效果优良率87.5％（14/16）。结论：腹腔镜Heller肌切开联合Dor胃底折叠术是治疗贲门失弛缓症的首选治疗方式，术中精细操作，术后严密检查，可预防并发症的发生。
목적：탐토복강경하Heller기절개+Dor위저절첩술치료분문실이완증적림상개치。방법：대1999년5월-2013년5월본원수치적16례분문실이완증환자시행복강경Heller기절개연합Dor위저절첩술，진행회고성통계분석。결과：수술평균시간（105.2±25.6）min，술중평균출혈（32.3±12.0）mL。기중술중식관점막천파2례；반류성식관염2례；1례잉유경도탄인곤난。수술효과우량솔87.5％（14/16）。결론：복강경Heller기절개연합Dor위저절첩술시치료분문실이완증적수선치료방식，술중정세조작，술후엄밀검사，가예방병발증적발생。
Objective:To investigate the clinical application value of Laparoscopic Heller myotomy and Dor fundoplication in treatment of achalasia. Method:The baseline data of patients diagnosed with achalasia from May 1999 to May 2013 was retrospectively reviewed. Result:The average operative time was(105.2±25.6)minutes,and the average intraoperative blood loss was(32.3±12.0)mL. Where 2 cases with intraoperative esophageal mucosa perforation;2 cases with reflux esophagitis;1 case still with mild dysphagia. Excellent effect rate of surgery was 87.5%(14/16). Conclusion:Laparoscopic Heller myotomy and Dor fundoplication may be the preferred surgical treatment of achalasia in some patients. Fine operation during operation and close examination after operation can prevent complications.