目的 比较经胸入路与经腹入路手术治疗食管裂孔疝的安全性及有效性。方法 需手术治疗的各类型食管裂孔疝患者18 例,随机分为A组(10例经胸入路)和B组(8例经腹入路)。比较两组患者围手术期相关临床指标与近期随访情况。结果 全组患者手术顺利,A组患者出现1例肺部感染,2例功能性胃瘫,经治疗得以恢复后出院。两组患者的手术时间、术后并发症发生率、术后引流量、术后住院时间、住院期间总费用等方面差异均无统计学意义。随访3个月主诉无明显不适,临床症状均得到有效缓解。结论 两种手术入路治疗食管裂孔疝均能达到相同治疗效果,术后近期随访结果良好。
Objective To compare the safety and effectiveness of thoracic approach and transabdominal approach for the treatment of esophageal hiatus hernia.Methods Eighteen patients with esophageal hiatal hernia who underwent surgical treatment were randomly divided into group A (10 cases with thoracic approach) and group B (8 cases with transabdominal approach).The perioperative clinical indicators and short-term follow-ups of the two groups were compared.Results All the operations were successful.One case with pulmonary infection and two cases with functional gastroparesis in group A were recovered after treatment and discharged from hospital.There were no statistically significant differences in operative time,incidence rate of postoperative complications,postoperative drainage,postoperative hospital stay,and total cost of hospitalization between group A and group B.After a 3-month follow-up,there was no obvious discomfort,and clinical symptoms were effectively relieved.Conclusion These two approaches for the treatment of esophageal hiatal hernia could achieve the same effect with good short-term prognosis.
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