腹腔镜下应用补片治疗食管裂孔疝的效果评估

摘要

Objective To analyze the effect of patch in the treatment of esophageal hiatal hernia under laparoscopic repair.Methods 120 cases of patients with esophageal hiatal herniain our hospital from November 2013 to November 2015 were selected as the study subjects. 120 patients were randomly divided into two groups,for the study group and the control group. Two groups of patients used laparoscopic repair of esophageal hiatal herniarepair. The control group did not use the patch for treatment,While the study group was treated with patch. Analysis of therapeutic effect and recurrence rate after operation. Results The operation time and postoperative hospital stay in the study group were lower than that in the control group. The patients in the study group were successfuly operated,The success rate of treatment in the control group was 65.0%,The difference was statisticaly significant(P<0.05). The recurrence rate was 11.7% in the study group and 23.3% in the control group,the difference was statisticaly significant(P<0.05).Conclusion For the treatment of esophageal hiatal hernia,in the laparoscopic repair of the repair effect of patch in the treatment of esophageal hiatal hernia is better. Not only has the advantages of less trauma and quick recovery time,but also can reduce the recurrence rate of patients.%目的：分析腹腔镜下应用补片治疗食管裂孔疝的效果。方法选取我院在2013年11月～2015年11月收取的120例食管裂孔疝患者为研究对象，随机对120例患者进行分组，为研究组和对照组，两组患者在腹腔镜下行食管裂孔疝修补术，对照组未使用补片进行治疗，而研究组则使用补片进行治疗。分析治疗效果和术后复发率情况。结果研究组患者的手术时间以及术后住院时间均比对照组低；研究组患者手术均成功，对照组患者的治疗成功率为65.0%，差异有统计学意义（P＜0.05）；研究组患者的复发率11.7%，对照组患者的复发率为23.3%，差异有统计学意义（P＜0.05）。结论对于食管裂孔疝的治疗，在腹腔镜下采用补片修复疗效较好，不仅具有创伤小、恢复时间快的优点，还可降低患者的复发率。