| 腹腔镜治疗食管裂孔疝的临床应用 |
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| 引用本文： | 克力木,张成,牛伟亚,凯塞尔,艾克拜尔,阿扎提,于文庆,王自立,李义亮.腹腔镜治疗食管裂孔疝的临床应用[J].中华疝和腹壁外科杂志（电子版）,2008,2(2):10-11. |
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| 作者姓名： | 克力木 张成 牛伟亚 凯塞尔 艾克拜尔 阿扎提 于文庆 王自立 李义亮 |
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| 作者单位： | 新疆自治区人民医院腔镜外科,乌鲁木齐,830001 |
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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。方法对26例食管裂孔疝患者使用腹腔镜行食管裂孔疝修补术，其中16例做胃底270。部分折叠术（Toupet术），10例做胃底360°胃底折叠术（Nissen术）。19例应用补片修补疵缺口，7例采用7号丝线缝合。结果26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26例患者的反酸症状均在24h内缓解，术后停用抗酸药物，修补术具有疗效确定、安全和创伤小的优点。值得进一步推广应用。
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| 关 键 词： | 腹腔镜 疝 食管裂孔 折叠修补术 |
Laparoscopic repair of paraesophageal hernia |
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| Authors: | KE Li-mu ZHANG Cheng NIU Wei-ya KAI Sai-er AI Ke bai-er A Zha-ti YU Wen-qing WANG Zi-li LI Yi-liang |
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| Institution: | . (Department of Laparoscopic Surgery, Xin-jiang Provincial People＇ s Hospital, Urumuqi 830001, China) |
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| Abstract: | Objective To investigate the efficacy and safety of laparoseopic repair of paraesophageal hernia. Methods 26 patients underwent laparoscopie repair of paraesophageal hernia, including 10 cases having laparoscopic Nissen fundoplication and 16 having laparoscopic Toupet fundoplication. Results Laparoscopicrepair of paraesophageal hernia was completed successfully in all 26 patients. The average operation time 110min and the blood loss was between 10-50 ml. Postoperative oral feedings were resumed after 24-48 hours of surgery＇, and no postoperative complication occurred. The median postoperative hospital stay was 5 days. Conclusion Laparoscopie repair of paraesophageal hernia is an effective and safe surgcal procedure of minimal invasion. |
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| Keywords: | Laparoscopcs Hernia hiatal Repair Fundoplieation |
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