胃食管反流病的外科治疗现状和进展  

Current therapeutic options and progress for gastroesophageal reflux disease

作　　者：郑力铭 蔡则灵 王盛[1] 喻春钊[1] 

机构地区：[1]南京医科大学第二附属医院普外科,南京210011

出　　处：《腹部外科》2017年第4期319-322,326,共5页Journal of Abdominal Surgery

基　　金：国家自然科学基金(30972910;81172269);中国博士后一等基金(20060390294);江苏省自然科学基金(BK2011858);江苏省六大人才高峰基金(WSW-032)

摘　　要：探讨胃食管反流病(gastroesophageal reflux disease,GERD)的各种外科手术方式,为临床医师选用更合适的手术方式提供依据。外科手术是临床上治疗GERD的常用方法。本文通过总结回顾近5年国内外的文献,比较各术式的优缺点,同时结合最新进展,阐明不同情况下手术方法的选择。近年来,传统开腹手术由于伤口大、并发症多、恢复慢等缺点,正逐渐被取代。腹腔镜技术是目前治疗GERD的主流方案,具有创伤小、恢复快、并发症少等优点。与此同时,内镜技术的无创性、可重复性、较强的恢复性使其在GERD的治疗中起到独到的作用。由于国内常规开展的抗反流手术既有优点又有缺点,所以根据病人的具体情况选择针对性的手术方法显得愈发重要。To help surgeons choose better operations against the gastroesophageal reflux disease（GERD）,various surgical treatment of GERD was studied.surgical operationis the most common treatment of GERD.The recent research of GERDespecially in the past five years has been analyzed to compare the advantages and disadvantagesof the various operating procedures and clarifythe selection of it.Currently,thetraditional laparotomyoperation is gradually replacedbecause of large wound,many complication,slow recovery and other shortcomings.Laparoscopy is becoming the most common surgicaltreatment of GERD because it has the advantages of small trauma,fast recovery and few complication.Besides that,Endoscope is noninvasive,reproducible,fast recovery which plays a unique role in GERD.These conventional surgical interventions are both having advantages and disadvantages,and it is important for surgeons to choose a appropriatesurgical method by the specific circumstances of patients.

关 键 词：胃食管反流病 手术方式 外科治疗 

分 类 号：R656.61[医药卫生—外科学]