腹腔镜Heller术+Dor胃底折叠术治疗贲门失弛缓症的效果  

Effect of laparoscopic Heller operation combined with Dor fundoplication on the treatment of patients with achalasia of cardia

作　　者：周成 孙鹏飞 臧书源 徐立群 ZHOU Cheng;SUN Pengfei;ZAN G Shuyuan;XU Liqun(Department of General Surgery, Yancheng First Prople＇s Hospital, Yancheng Jiangsu, 22400)

机构地区：[1]江苏省盐城市第一人民医院普外科,江苏盐城224005

出　　处：《实用临床医药杂志》2018年第9期58-60,64,共4页Journal of Clinical Medicine in Practice

摘　　要：目的分析腹腔镜Heller术+Dor胃底折叠术治疗贲门失弛缓症的可行性及临床效果。方法回顾性分析接受腹腔镜Heller术+Dor胃底折叠术治疗的11例贲门失弛缓症患者的临床资料。结果患者均顺利完成手术,手术时间为85~138 min,术中出血量25~100 m L,术后住院时间5~11 d;1例患者发生食管黏膜破裂,术中立即予修补缝合,无并发症发生。术后随访3~35月,所有患者临床症状均缓解。结论贲门失弛缓症接受腹腔镜Heller术+Dor胃底折叠法安全可行。Objective To analyze the feasibility and clinical efficiency of laparoscopic Heller operation combined with Dor fundoplication in the treatment of patients with achalasia of cardia.Methods The clinical materials of 11 patients with achalasia of cardia treated by Heller operation and Dor fundoplication were retrospectively analyzed.Results All the patients successfully completed the operation.The operation time was 85 to 138 min,intra-operative blood loss was 25 to100 m L,and postoperative hospital stay was 5 to 11 days.One patient had esophageal mucosal rupture,and was treated with repair and suture immediately,and no complications were observed.All the patients were followed up for 3 to 35 months,and the clinical symptoms were significantly relieved.Conclusion Laparoscopic Heller operation combined with Dor fundoplication is safe and effective in the treatment of patients with achalasia of cardia.

关 键 词：贲门失弛缓症 腹腔镜 HELLER术 胃镜 

分 类 号：R573.7[医药卫生—消化系统]