腹腔镜食道裂孔疝修补术  

Laparoscopic prosthesis of esophageal herniation.

作　　者：秦明放[1] 杨慧琪[1] 王庆[1] 勾承月[1] 李宁[1] 

机构地区：[1]天津南开医院,300100

出　　处：《中国实用外科杂志》2004年第10期614-616,共3页Chinese Journal of Practical Surgery

摘　　要：目的　探讨腹腔镜食道裂孔疝修补术的可行性及安全性。方法　回顾性分析 2 0 0 1年 3月至 2 0 0 3年12月天津南开医院行腹腔镜食道裂孔疝修补术 11例病人的临床资料。结果　 10例行裂孔疝修补后同时行胃底折叠术 ,其中 7例行Nissen胃底折叠术 ,3例行Toupet胃底折叠术 ,1例仅行裂孔修补术。术后症状完全缓解。食道下段压力由 (8 6± 2 4 )mmHg(1mmHg =0 133kPa)提高到 (18 2 0± 3 4 3)mmHg(P <0 0 1) ,2 4hpH值监测评分由 5 3 4± 39 7降低到 8 0 4± 2 12 (P <0 0 1) ,较手术前有明显改善 ,并达到正常范围。无手术并发症 ,无中转开腹及死亡病例。结论　对于食道裂孔疝 ,腹腔镜食道裂孔疝修补术是一种安全。Objective To explore the feasibility and reliability of laparoscopic prosthesis in the treatment of esophageal herniation. Methods The data of eleven cases of esophageal herniation performed laparoscopic prosthesis from March 2001 to Dec 2003 was reviewed retrospectively.Result Laparoscopic prosthesis and fundoplication was performed in 10 cases, including 7 cases nissen fundoplication and 3 cases of toupet fundoplication . Laparoscopic prosthesis was performed in 1 case.Symptoms were completely relieved. The lower esophageal pressure was increased from (8.6±2.4)mmHg to (18.20±3.43)mmHg(P<0.01)(1mmHg=0.133kPa).The DeMeester score of 24-h pH monitoring was significantly declined from (53.4±39.7) to (8.04±2.12)(P<0.01).Both of them achieved the normal value. There was no postoperative complications. There was no conversion and death. Conclusion Laparoscopic prosthesis is secure and effective for esophageal herniation.

关 键 词：食道裂孔疝 疝修补术 腹腔镜 NISSEN胃底折叠术 正常范围 PH值监测 完全缓解 结论 目的 评分 

分 类 号：R656[医药卫生—外科学] R655.4[医药卫生—临床医学]