腹腔镜食管下段贲门肌层切开联合Dor胃底折叠术治疗贲门失弛缓症

目的:探讨腹腔镜食管下段贲门肌层切开联合Dor胃底折叠术治疗贲门失弛缓症的临床应用价值。方法:回顾性分析31例行腹腔镜食管下段贲门肌层切开联合Dor胃底折叠术治疗的贲门失弛缓症患者术前与术后3个月的临床数据。结果:31例均成功行腹腔镜手术,27例术前与术后3个月吞咽困难评分(1.10±0.18与0.91±0.12,P<0.01)、术前与术后胸骨后疼痛评分(0.38±0.04与0.36±0.03,P<0.05)症状得到有效缓解,体质量指数(21.32±1.26与20.47±1.34,P<0.05)及生活质量指数(85.69±7.78与80.43±9.19,P<0.05)明显优于术前。结论:腹腔镜食管下段贲门肌层切开联合Dor胃底折叠术对于改善贲门失弛缓症患者临床症状及提高生活质量具有重要的意义。

Laparoscopic Heller Myotomy plus Dor Fundoplication for Achalasia

Objective To investigate the Heller muscle myotomy plus laparoscopic Dor fundoplication for achalasia.Methods A retrospective analysis of clinical data of 31 cases of laparoscopic Heller muscle myotomy plus Dor fundoplication for achalasia patients before and after operation was made.Results All 31 cases successfully underwent successful laparoscopic operations,without intraoperative and postoperative complications and deaths.In 27 patients the mean swallowing difficult scores before and 3 months after operation were(1.10 + 0.18 vs 0.91 + 0.12,P < 0.01),The retrosternal pain(0.38 + 0.04 vs 0.36 + 0.03 P < 0.05) showed symptoms alleviated effectively,and the body mass index(21.32 + 1.26 vs 20.47 + 1.34,P < 0.05) and quality of life index(85.69 + 7.78vs80.43 + 9.19,P < 0.05) after operation showed better than those before operation.Conclusion Laparoscopic Heller myotomy plus Dor fundoplication is a perferrde procedure for achalasia patients to improve clinical symptoms and the quality.