| 腹腔镜Heller肌切开联合胃底折叠术在贲门失弛缓症治疗中的应用 |
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| 引用本文： | 王相增,佟赞,李延茂,李阳阳,郭耀,张烈.腹腔镜Heller肌切开联合胃底折叠术在贲门失弛缓症治疗中的应用[J].腹腔镜外科杂志,2009,14(9):660-662. |
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| 作者姓名： | 王相增 佟赞 李延茂 李阳阳 郭耀 张烈 |
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| 作者单位： | 沈阳市第五人民医院,辽宁,沈阳,110023 |
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| 摘 要： | 目的:探讨腹腔镜Heller肌切开联合胃底折叠术(laparoscopic Heller myotomy with a Toupet fundoplication,LHT)治疗贲门失弛缓症的临床价值。方法:回顾分析2000年4月至2008年4月我院为48例贲门失弛缓症患者行LHT的临床资料。结果:手术均获成功,无中转开腹。手术时间65~150min,平均86min,术中出血5~50ml。术后平均住院5.2d。随访1~24个月,术前吞咽困难症状均缓解。结论:LHT具有定位准确、安全、可靠、创伤小、痛苦轻、疗效好等优点,同时可提高手术质量,减少并发症。LHT治疗贲门失弛缓症值得临床推广。
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| 关 键 词： | 贲门失弛缓症 腹腔镜术 Heller平滑肌切开术 Toupet胃底折叠术 |
The application of laparoscopic Heller myotomy combined with Toupet fundoplication in treatment of achalasia of cardia |
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| WANG Xiang-zeng,TONG Zan,LI Yan-mao,et al..The application of laparoscopic Heller myotomy combined with Toupet fundoplication in treatment of achalasia of cardia[J].Journal of Laparoscopic Surgery,2009,14(9):660-662. |
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| Authors: | WANG Xiang-zeng TONG Zan LI Yan-mao |
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| Institution: | WANG Xiang-zeng,TONG Zan,LI Yan-mao,et al.The Fifth People's Hospital of Shenyang,Shenyang 110023,China |
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| Abstract: | Objective:To investigate the clinical value of laparoscopic Heller myotomy with Toupet fundoplication(LHT)in the treatment of achalasia of cardia.Methods:LHT was performed in 48 patients who was diagnosed as achalasia of cardia during Apr.2000 to Apr.2008.Their clinical data were retrospectively analyzed.Results:All operations were successfully performed without conversion to open surgery.The operative time was 65-150min(mean 86min).Blood loss during operation was 5-50ml.The mean time of hospitalization was... |
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| Keywords: | Achalasia of cardia Laparoscopy Heller myotomy Toupet fundoplication |
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