摘要
目的观察腹腔镜食管裂孔疝修补联合胃底折叠术治疗食管裂孔疝合并胃食管反流的临床疗效。方法选择2015-02~2016-04该院收治的80例食管裂孔疝合并胃食管反流患者,按随机数字表法分为两组,各40例。对照组实施常规开腹手术治疗,观察组实施腹腔镜食管裂孔疝修补联合胃底折叠术治疗。比较两组患者各项手术指标、生存质量、并发症发生情况以及术后病情状况。结果观察组术中出血量、胃肠道功能恢复时间、手术时间、住院时间均短于对照组,差异有统计学意义(P<0.01);观察组胸痛、烧心感、反食、反酸评分均低于对照组,差异有统计学意义(P<0.01);观察组GLQI评分与对照组相比有明显提高,差异有统计学意义(P<0.01);观察组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论对食管裂孔疝合并胃食管反流患者实施腹腔镜食管裂孔疝修补联合胃底折叠术治疗能有效优化各项手术指标,改善患者病情,提高患者生存质量,降低术后并发症发生率,安全性高,值得临床推广。
Objective To explore the clinical effect of laparoscopic hiatal hernia repair and fundoplication on the treatment of esophageal hiatal hernia and gastroesophageal reflux.Methods 80 patients with hiatal hernia complicated with gastroesophageal reflux were collected in our hospital from February 2015 to April 2016 and were randomly divided into two groups,with 40 cases in each group.The control group was treated with conventional laparotomy,while the observation group was treated with laparoscopic hiatal hernia repair and fundoplication.The operation parameters,quality of life,complications and postoperative condition were compared between the two groups.Results The amount of bleeding,gastrointestinal function recovery time,operation time and hospitalization time in the observation group were less than those in the control group(P<0.01).The chest pain,heartburn,acid regurgitation scores in the observation group were lower than those in the control group(P<0.01).The GLQI scores of the observation group increased higher than those of the control group(P<0.01).The complication rate of the observation group was significantly lower than that of the control group(P<0.05).Conclusion Laparoscopic hiatal hernia repair combined with fundoplication treatment can effectively optimize the operation indexes,improve the patients′conditions,and their quality of life and reduce the incidence of postoperative complications in the treatment of esophageal hiatal hernia complicated with gastroesophageal reflux.
作者
王春晓
WANG Chun-xiao(Department of General Surgery,the Second People′s Hospital of Neixiang,Henan 474350,China)
出处
《中国临床新医学》
2018年第2期164-167,共4页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词
腹腔镜食管裂孔疝修补
胃底折叠术
食管裂孔疝合并胃食管反流
Laparoscopic repair of esophageal hiatal hernia
Fundoplication
Esophageal hiatal hernia with gastroesophageal reflux
