| 胸、腹腔镜治疗贲门失弛缓症的临床分析 |
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| 引用本文： | 郭吕,顾建伟,朱景元,王春生,陶卫东,顾卯林,黄永刚. 胸、腹腔镜治疗贲门失弛缓症的临床分析[J]. 腹腔镜外科杂志, 2005, 10(6): 326-327 |
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| 作者姓名： | 郭吕 顾建伟 朱景元 王春生 陶卫东 顾卯林 黄永刚 |
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| 作者单位： | 昆山市中医院,江苏,昆山,215300;昆山市中医院,江苏,昆山,215300;昆山市中医院,江苏,昆山,215300;昆山市中医院,江苏,昆山,215300;昆山市中医院,江苏,昆山,215300;昆山市中医院,江苏,昆山,215300;昆山市中医院,江苏,昆山,215300 |
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| 摘 要： | 目的:探讨腹腔镜治疗贲门失弛缓症的可行性、手术方法及临床应用价值。方法:分析近年腹腔镜治疗贲门失弛缓症29例及胸腔镜组54例的临床资料。术前食管X线钡餐检查,均可见食管近端扩张,贲门呈鸟嘴样狭窄。食管镜检查见食管扩张,贲门紧闭进镜受阻。结果:无手术死亡病例及中转手术。结论:腹腔镜治疗贲门失弛缓症较胸腔镜具有手术时间及住院时间短,并发症少,术后吞咽困难症状缓解率高,食管返流低等优势,手术操作腹腔镜Heller-Dor较Toupet更具优势应作为首选。
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| 关 键 词： | 贲门失弛缓症 腹腔镜 胸腔镜 |
| 文章编号： | 1009-6612（2005）06-0326-02 |
| 收稿时间： | 2005-11-16 |
| 修稿时间： | 2005-11-16 |
Laparoscopic management of esophageal achalasia |
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| GUO Lu, GU Jian-wei, ZHU Jing-yuan, et al. Laparoscopic management of esophageal achalasia[J]. Journal of Laparoscopic Surgery, 2005, 10(6): 326-327 |
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| Authors: | GUO Lu GU Jian-wei ZHU Jing-yuan et al |
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| Abstract: | Objective: To discuss the feasibility for laparoscopic management in treating of achalasia.Methods:Review totall 29 cases include 27 cases that undergone laparoscopic treatment which had been reported recently and 2 cases that undergone laparoscopic treatment in our hospital,and 54 cases that undergone throracoscopic treatment that had been reported recently.All the patients were studied by roentgenographic and endoscopic.Results:No patient died or was converted to open procedure.Conclusions:Laparoscopic myotomy is a preferred surgical treatment of achalasia to throracoscopic treatment in effective,hospital stay time,reflux rate,and complication. |
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| Keywords: | Esophageal aehalasia Laparoseopy Thoraeoseopy |
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