Stăncescu M, Milcu A
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1977 Nov-Dec;26(6):407-13.
On the basis of a study performed in 141 cases of hiatal hernia that have been hospitalized in the clinic a series of clinico-therapeutical considerations are made, with surgical implications. The most frequently encountered type of hiatal hernia was that occurring through sliding. Very frequently there are morbid associations (in over 60% of the cases) and this indicates the necessity for a complex study of the patients and a careful selection of the predominant affection. Only 81 of the patients that have been examined - that is 57% - had surgical indications. Two types of interventions have been associated: the correction of the diaphragmatic hiatus was always associated with an intervention in view of avoiding the repetition of the gastroesophagian reflux. Good and very good post-operative results have been obtained in 78% of the interventions and mediocre results in 22% of the operated patients.
基于对在该诊所住院治疗的141例食管裂孔疝患者进行的一项研究，得出了一系列临床治疗方面的考量，并涉及手术相关问题。最常见的食管裂孔疝类型是滑动型。经常会出现合并症（超过60%的病例），这表明有必要对患者进行全面检查，并仔细筛选出主要病症。接受检查的患者中只有81例——即57%——有手术指征。采用了两种手术方式：修复膈裂孔时总是会同时采取措施以避免胃食管反流复发。78%的手术取得了良好和非常好的术后效果，22%的手术患者效果一般。
