Sakhautdinov V G, Galimov O V
Vestn Khir Im I I Grek. 1995;154(3):26-8.
An experience with treatment of 210 patients with hiatal hernias is summarized, 162 (77.1%) of them having a concomitant pathology of the abdominal cavity. Most frequently the hiatal hernias were associated with gastroduodenal ulcers (48.6%), chronic cholecystitis (18.1%), ventral hernias (5.7%). A new method of correction of hiatal hernias is described which prevents the development of complications resulting from an extreme narrowing of the hiatus. Good long-term results were obtained in 55.9% of the patients, satisfactory--in 34.3% unsatisfactory in 9.8% of the patients, results of the isolated correction of the hiatus being worse that those obtained after the combined operations. A conclusion is made that well-grounded simultaneous operations for hiatal hernias are followed by perfect medico-social and economic effects.
总结了210例食管裂孔疝患者的治疗经验，其中162例（77.1%）伴有腹腔的其他病变。食管裂孔疝最常见的合并症是胃十二指肠溃疡（48.6%）、慢性胆囊炎（18.1%）、腹疝（5.7%）。本文描述了一种新的食管裂孔疝矫正方法，该方法可预防因裂孔极度狭窄而导致的并发症。55.9%的患者获得了良好的长期效果，34.3%的患者效果满意，9.8%的患者效果不满意，单纯裂孔矫正的效果比联合手术差。得出的结论是，有充分依据的食管裂孔疝同期手术可带来良好的医疗社会和经济效益。
