腹腔镜胃底折叠术和食管裂孔疝修补术在胃食管反流病的临床应用效果分析  

Analysis of clinical application effects of laparoscopic fundus folding surgery and hiatal hernia repair surgery in gastroesophageal reflux disease

作　　者：杨文斌[1] Yang Wenbin(Hunan Chenzhou First People's Hospital,Chenzhou,Hunan 423000,China)

机构地区：[1]湖南省郴州市第一人民医院,湖南郴州423000

出　　处：《首都食品与医药》2024年第18期25-27,共3页Capital Food Medicine

基　　金：郴州市科技局科技发展计划项目(编号:zdyf201951)。

摘　　要：目的探究胃食管反流患者行腹腔镜胃底折叠术和食管裂孔疝修补术的临床疗效.方法择取郴州市第一人民医院2022年1月-2023年12月收治的80例行腹腔镜胃底折叠术和食管裂孔疝修补术胃食管反流患者作为研究对象,依据胃底折叠术不同分为Nissen组(43例)与Toupet组(37例),对比疗效.结果Toupet组术后临床症状评分低于Nissen组(P<0.05);两组术前、术后Visick评分等级对比,无统计学差异(P>0.05);Toupet组术后1个月吞咽困难发生率低于Nissen组(P<0.05).结论对胃食管反流患者行腹腔镜胃底折叠术和食管裂孔疝修补术治疗,安全性高,需依据患者病情针对性选择.Objective To explore the clinical efficacy of laparoscopic fundus folding surgery and hiatal hernia repair in patients with gastroesophageal reflux disease.Methods 80 patients with gastroesophageal reflux who underwent laparoscopic fundus folding surgery and hiatal hernia repair surgery in our hospital from January 2022 to December 2023 were selected as the study subjects.They were divided into Nissen group(43 cases)and Toupet group(37 cases)based on different fundus folding surgeries,and the therapeutic effects were compared.Results The postoperative clinical symptom score of the Toupet group was lower than that of the Nissen group(P<0.05);there was no statistically significant difference(P>0.05)in the comparison of Visick grade between the two groups before and after surgery;the incidence of swallowing difficulties one month after surgery in the Toupet group was lower than that in the Nissen group(P<0.05).Conclusion Laparoscopic fundus folding surgery and hiatal hernia repair surgery are highly safe for patients with gastroesophageal reflux disease,and should be selected based on the patient's condition.

关 键 词：胃食管反流 腹腔镜胃底折叠术 食管裂孔疝修补术 

分 类 号：R571[医药卫生—消化系统]