腹腔镜Heller肌切开联合胃底折叠术在贲门失弛缓症治疗中的应用  

The application of laparoscopic Heller myotomy combined with Toupet fundoplication in treatment of achalasia of cardia

作　　者：王相增[1] 佟赞 李延茂[1] 李阳阳[1] 郭耀[1] 张烈[1] 

机构地区：[1]沈阳市第五人民医院,辽宁沈阳110023

出　　处：《腹腔镜外科杂志》2009年第9期660-662,共3页Journal of Laparoscopic Surgery

摘　　要：目的：探讨腹腔镜Heller肌切开联合胃底折叠术（1aparoscopic Heller myotomy with a Toupet fundoplication，LHT）治疗贲门失弛缓症的临床价值：方法：回顾分析2000年4月至2008年4月我院为48例责门失弛缓症患者行LHT的临床资料。结果：手术均获成功，无中转开腹。手术时间65～150min，平均86min，术中出血5—50ml。术后平均住院5．2d。随访1～24个月，术前吞咽困难症状均缓解。结论：LHT具有定位准确、安全、可靠、创伤小、痛苦轻、疗效好等优点，同时可提高手术质量，减少并发症？LHT治疗责门失弛缓症值得临床推广。Objective：To investigate the clinical value of laparoscopic Heller myotomy with Toupet fundoplication（LHT） in the treatmenl of achalasia of cardia. Methods ： LHT was performed in 48 patients who was diagnosed as achalasia of cardia during Apr. 2000 to Apr. 2008. Their clinical data were retrospectively analyzed. Results： All operations were successfully performed without conversion to open surgery. The operative time was 65-150min（ mean 86min）. Blood loss during operation was 5-50ml. The mean time of hospitalization was 5.2 days. There was no dysphagia occurred in follow up of 1-24 months. Conclusions：LHT in the treatment of achalasia of cardia is safe and feasible with accurate location, satisfactory effect,faster postoperative recovery,less pain and recurrence rate,and is worthy of wide generalization for relieving dysphagia in patients with achalasia of cardia.

关 键 词：贲门失弛缓症 腹腔镜术 Heller平滑肌切开术 Toupet胃底折叠术 

分 类 号：R655.4[医药卫生—外科学]