腹腔镜手术治疗贲门失弛缓症的临床研究  

Laparoscopic surgery for the treatment of achalasia

作　　者：姜洪伟 王举 李海军 彭际奎 高小平 

机构地区：[1]内蒙古自治区人民医院胃肠外科,呼和浩特010017

出　　处：《中国医师进修杂志》2014年第5期8-10,共3页Chinese Journal of Postgraduates of Medicine

基　　金：内蒙古自治区自然科学基金（2013MS1151）

摘　　要：目的 分析腹腔镜手术治疗贲门失弛缓症的并发症以及中短期疗效.方法 回顾性分析腹腔镜手术治疗贲门失弛缓症41例患者的临床资料,观察疗效.结果 41例患者无死亡病例.所有患者均行腹腔镜Heller食管贲门肌切开术与胃底折叠术,其中39例患者行Dor前部分胃底折叠术,2例患者存在裂孔疝行Toupet胃底折叠术.手术时间平均142 min.7例发生术中并发症,其中6例为轻度并发症.术后平均随访21个月.临床疗效优27例,良7例,一般5例,差2例.结论 腹腔镜Heller食管贲门肌切开术中短期的疗效较好,并发症发生率低,可作为贲门失弛缓症的首选治疗方法.Objective To analyze the complications and short-term effects of laparoscopic surgery for achalasia.Methods The clinical data of 41 patients with achalasia who were treated by laparoscopic surgery were analyzed retrospectively.Results The 41 patients were no deaths.All patients underwent Heller cardiomyotomy and fundoplication,39 patients with Dor anterior fundoplication,2 patients had the presence of hiatal hernia with Toupet fundoplication.The mean surgical time was 142 min.Intraoperative complications occurred in 7 cases,including 6 cases of mild complications.The mean follow-up was 21 months.The clinical efficacy excellent in 27 cases,good in 7 cases,generally in 5 cases,poor in 2 cases.Conclusions Heller cardiomyotomy should be the treatment of choice in achalasia patients,because of its short and medium term outcomes,and its low morbidity.

关 键 词：腹腔镜 食管失弛症 胃底折叠术 

分 类 号：R656.6[医药卫生—外科学]