腹腔镜手术治疗小儿先天性食管裂孔疝的研究进展  

Advances of laparoscopic fundoplication for children with congenital esophageal hiatal hernia

作　　者：程橙 吴晔明[1] Cheng Cheng;Wu Yeming(Department of Pediatric Surgery,Affiliated Xinhua Hospital,Shanghai Jiao Tong University,Shanghai 200092,China)

机构地区：[1]上海交通大学附属新华医院小儿外科

出　　处：《临床小儿外科杂志》2019年第12期1067-1071,共5页Journal of Clinical Pediatric Surgery

摘　　要：小儿先天性食管裂孔疝主要由小儿膈肌先天性发育异常引起,治疗方式主要包括保守治疗和手术治疗。手术治疗原则包括将疝入的胃和食管复位、缝合修补膈肌缺损,并行胃底折叠术,以达到防止复发和抗反流的目的。现阶段,腹腔镜下食管裂孔疝修补术及胃底折叠术被外科医生和患儿家长广泛接受,其中胃底折叠术又可分为Nissen术、Nissen-Rossetti术、Thal术、Toupet术、Dor术等多种术式。本文将围绕小儿先天性食管裂孔疝相关术式选择的近期研究成果进行综述。Congenital esophageal hiatal hernia is mainly caused by congenital dysplasia of diaphragm in children.Its treatment methods include conservative measures and surgery.The surgical goals include reducing impacted stomach and esophagus,repairing diaphragmatic defect and parallel fundoplication for preventing recurrence and anti-reflux.Currently laparoscopic hiatal hernia repair and fundoplication are widely accepted by both surgeons and parents.And the modes of fundoplication may be divided into Nissen,Nissen-Rossetti,Thal,Toupet and Dor.This review summarized recent researches of selecting surgical modes for congenital esophageal hiatal hernia in children.

关 键 词：疝 食管裂孔/先天性 胃食管反流 腹腔镜检查 胃底折叠术 儿童 

分 类 号：R726[医药卫生—儿科] R655.6[医药卫生—临床医学]