| 腹腔镜食管裂孔疝修补术并发症的预防 |
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| 引用本文： | 克力木,张成,牛伟亚,凯塞尔,艾克拜尔,王志,阿力木江,于文庆.腹腔镜食管裂孔疝修补术并发症的预防[J].中华疝和腹壁外科杂志（电子版）,2011,5(2):149-152. |
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| 作者姓名： | 克力木 张成 牛伟亚 凯塞尔 艾克拜尔 王志 阿力木江 于文庆 |
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| 作者单位： | 新疆维吾尔自治区人民医院微创,疝与腹壁外科,乌鲁木齐,830001 |
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| 基金项目： | 新疆卫生厅青年科学基金资助项目 |
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| 摘 要： | 目的探讨使用腹腔镜行食管裂孔疝修补术的疗效和安全性。减少手术并发症,随访腹腔镜治疗食道裂孔疝的效果。方法对280例食管裂孔疝患者使用腹腔镜行食管裂孔疝修补术,其中132例做胃底270°部分折叠术（Toupet术）,148例做胃底360°折叠术（Nissen术）。36例应用补片修补疝缺口,剩余患者采用直接缝合。结果 280例腹腔镜食管裂孔疝修补术全部获得成功。手术时间30～190min,平均手术时间110min,失血10～50ml;术后24～48h进流质饮食,无术后并发症;术后平均住院5.7d。结论腹腔镜食道裂孔疝修补术具有疗效确定、安全和创伤小的优点。并发症率极低。
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| 关 键 词： | 食管裂孔疝 腹腔镜 疝修补术 |
Laparoscopic repair of paraesophageal hernia |
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| Authors: | KE Li-mu ZHANG Cheng NIU Wei-ya KAI Sai-er AI Ke-baier WANG Zhi A Li-mujiang YU Wen-qing |
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| Institution: | KE Li-mu,ZHANG Cheng,NIU Wei-ya,KAI Sai-er,AI Ke-baier,WANG Zhi,A Li-mujiang,YU Wen-qing.Department of Laparoscopic Surgery,xinjiang Provincial People Hospital,Urumuqi 830001,China |
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| Abstract: | Objecfive To investigate the efficacy and safety of laparoseopic repair of paraesophageal hernia.Methods 280 patients underwent laparoscopic repair of paraesophageal hernia,including 148 cases having laparoscopic Nissen fundoplication and 132 having laparoscopic Toupet fundoplication.Results Laparoscopic repair of paraesophageal hernia was completed successfully in all 280 patients.The average operation time was 110minutes and the blood loss was between 10 to 50 m1.Postoperative oral feedings were resumed a... |
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| Keywords: | Paraesophageal hernia Laparoscopy Herniorrhaphy |
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