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[膈肌食管裂孔滑动疝的外侧食管胃底折叠术]

[Lateral esophagofundoplication in sliding hernias of the esophageal opening of the diaphragm].

作者信息

Zemlianoĭ A G, Bugaev A I, Kulagin V I

出版信息

Vestn Khir Im I I Grek. 1989 Apr;142(4):11-4.

PMID:2800147
Abstract

The authors analyze their experience with 140 operations performed for sliding hernias of the esophageal opening of the diaphragm. In 101 patients the lateral esophagofundoplication was performed by the method of B. V. Petrovski and N. N. Kanshin, in 39 patients the operation being the lateral esophagofundoplication by the authors' modification. There were no cases of postoperative lethality. Postoperative dysphagia appeared in 6 patients. Long-term results were studied in 93 patients (good results in 50 patients, satisfactory--in 26 patients, unsatisfactory--in 17 patients). Recurrent hernias were the cause of unsatisfactory results in 7 patients, incompetence of the cardia--in 10 patients.

摘要

作者分析了他们对140例膈食管裂孔滑动疝手术的经验。101例患者采用B. V. 彼得罗夫斯基和N. N. 坎申方法行食管旁胃底折叠术,39例患者采用作者改良的食管旁胃底折叠术。无术后死亡病例。6例患者出现术后吞咽困难。对93例患者进行了长期随访(50例效果良好,26例满意,17例不满意)。7例患者效果不满意的原因是复发性疝,10例是贲门功能不全。

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