[评估胃食管反流病合并食管裂孔疝手术治疗的有效性]
[Evaluating an effectiveness of surgical treatment of gastroesophageal reflux disease combined with hiatal hernia].
作者信息
Mozharovskiy V V, Tsyganov A A, Mozharovskiy K V, Tarasov A A
机构信息
Dmitrov City Hospital, Dmitrov, Russia.
出版信息
Khirurgiia (Mosk). 2017(6):28-32. doi: 10.17116/hirurgia2017628-32.
AIM
To assess an effectiveness of surgical treatment of gastroesophageal reflux disease (GERD) combined with hiatal hernia (HH).
MATERIAL AND METHODS
The trial included 96 patients with GERD and HH who were divided into 2 groups. The principal difference between groups was the use of surgery in the main group and therapeutic treatment in the comparison group.
RESULTS
The effectiveness of surgical treatment is superior to therapeutic treatment of GERD by more than 2.5 times.
CONCLUSION
HH combined with GERD is an indication for surgical treatment. Fundoplication cuff should not lead to angular and rotational esophageal deformation. Nissen procedure in Donahue modification (Short Floppy Nissen) simulates optimally the geometry of esophago-gastric junction and His angle.
目的
评估手术治疗胃食管反流病（GERD）合并食管裂孔疝（HH）的有效性。
材料与方法
该试验纳入了96例GERD合并HH患者，分为2组。两组的主要区别在于，主要组采用手术治疗，对照组采用治疗性治疗。
结果
手术治疗GERD的有效性比治疗性治疗高出2.5倍以上。
结论
HH合并GERD是手术治疗的指征。胃底折叠术不应导致食管成角和旋转变形。多纳休改良的nissen手术（短松弛nissen）能最佳地模拟食管胃交界处和His角的几何形状。
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