抗反流手术治疗胃食管反流病合并食管裂孔疝相关性顽固性呃逆的临床疗效  

Clinical efficacy of anti-reflux surgery in treatment of intractable hiccup due to gastroesophageal reflux disease with hiatus hernia

作　　者：李治仝[1] 胡珂琳 刘冰熔[3] 韩新巍[3] 李晶晶[1] 张浩然 张旭航 季锋[1] 汪忠镐[5] 无 Zhitong Li;Kelin Hu;Bingrong Liu;Jingjing Li;Haoran Zhang;Xuhang Zhang;Feng Ji;Zhonggao Wang;无(Department of Gastrointestinal surgery/Hernia and Abdominal Wall Surgery,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;HONG KONG Chu Hai College,Hong kong 999077,China;Gastroenterology,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Interventional Radiologythe,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Cardiovascular Surgery,Xuan Wu Hospital,Capital University of Medical Science,Beijing 100053,China)

机构地区：[1]郑州大学第一附属医院胃肠外科/疝和腹壁外科,450052 [2]香港珠海学院,中国香港999077 [3]郑州大学第一附属医院消化内科,450052 [4]郑州大学第一附属医院放射介入科,450052 [5]首都医科大学附属宣武医院血管外科,北京100053

出　　处：《中华胃食管反流病电子杂志》2024年第2期91-94,共4页Chinese Journal Of Gastroesophageal Reflux Disease(Electronic Edition)

基　　金：中国科学院学部咨询评议项目(B-SM-2017-01)。

摘　　要：目的观察腹腔镜食管裂孔疝修补联合His角成形术对胃食管反流病合并食管裂孔疝相关性顽固性呃逆的治疗效果。方法收集2021年1月至2022年3月郑州大学第一附属医院收治的以顽固性呃逆为首发表现经腹腔镜食管裂孔疝修补联合His角成形术治疗的胃食管反流病合并食管裂孔疝的临床资料并行回顾性分析。结果本组10例患者均顺利完成手术,其中呃逆完全停止7例,呃逆频率或强度降低3例。2例腹胀明显时,呃逆易复发。治愈率70%,总有效率100%。术后胃镜、上消化道造影均未发现食管裂孔疝。结论胃食管反流病合并食管裂孔疝是顽固性呃逆的重要诱因,腹腔镜食管裂孔疝修补联合His角成形术治疗胃食管反流病合并食管裂孔疝相关性顽固性呃逆安全有效。Objective To observe the clinical efficacy of laparoscopic hiatus hernia repair and angle of His reconstruction in treatment of intractable hiccup due to gastroesophageal reflux disease(GERD)with hiatus hernia(HH).Methods Analyzing our database of 10 patients with intractable hiccup who had laparoscopic HH repair and angle of His reconstruction for GERD plus HH.Results 10 patients were successfully undergone laparoscopic surgery,with complete cessation of hiccup in 7 cases,reduction in frequency or intensity of hiccups in 3 cases.Hiccups were easy to recur when abdominal distension was obvious in 2 cases.The cure rate was 70%,and the total effective rate was 100%.HH was not found by gastroscopy or upper gastrointestinal angiography in all cases after surgery.Conclusion GERD plus HH were both important cause of intractable hiccup.The laparoscopic HH repair and angle of His reconstruction were safe and effective in the treatment of patients with intractable hiccup due to GERD or HH.

关 键 词：胃食管反流病 食管裂孔疝 顽固性呃逆 

分 类 号：R655.4[医药卫生—外科学]