腹腔镜联合胃镜改良Heller术加Dor胃底折叠术治疗7例贲门失弛缓症的临床研究  

Clinical study on the effect of the laparoscopic combined with modified heller-dor operation on achalasia of the cardia

作　　者：金昌国[1] 欧阳才国[1] 张利刚[1] 康春博[1] 姚宝福[1] 刘荣[2] 

机构地区：[1]北京航天中心医院肝胆外科,100049 [2]中国人民解放军总医院肝胆外科,北京100039

出　　处：《重庆医学》2011年第26期2645-2646,共2页Chongqing medicine

摘　　要：目的探讨腹腔镜联合胃镜改良Heller术加Dor胃底折叠术治疗贲门失弛缓症的临床价值。方法回顾分析2007年10月至2009年11月北京航天中心医院收治的7例患者采用腹腔镜联合胃镜改良Heller术加Dor胃底折叠术治疗贲门失弛缓症的疗效。结果 7例手术均获成功,手术时间70.0～220.0 min,平均140.7 min,术中出血量10.0～65.0 mL,平均28.6mL,无1例中转开腹及并发症发生,术后住院4.0～8.0 d,平均6.5 d。术后随访2.0～26.0个月,平均12.1个月,术前症状均缓解。结论腹腔镜联合胃镜改良Heller术加Dor胃底折叠术治疗贲门失弛缓症具有安全,创伤小、术野清晰、恢复快、并发症少、疗效确切等优点。Objective To investigate the value of laparoscopic modified Heller-Dor operation combined with esophagogastroscopy in the treatment of achalasia of the eardia. Methods The effect of the laparoscopic combined with modified Heller-Dor operation on achalasia of the cardia from the seven cases from Oct 2007 to Nov 2009,7 was analyzed retrospectively. Results All the operations were successfully accomplished. The operating time was 70-220 min （mean, 140.7 min）and the intraoperative blood loss was 10-65 mL（mean, 28. 6 mL）, none of conversion to open surgery and intraoperatioinal complications, hospitalized for 4 - 8 days （mean,6.5 days）. Follow-up visit for 2-26 months （mean, 12.1months） in all the patients showed all the patients＇ symptom relieved after operation. Conclusion Laparoscopic modified Heller-Dor operation combined with esophagogastroscopy in the treat ment of aehalasia has the following advantage of safety,less injury, better operating exposure, earlier recovery,less complication and good effects.

关 键 词：贲门 腹腔镜 胃镜 

分 类 号：R655.4[医药卫生—外科学]