胸、腹腔镜治疗贲门失弛缓症的临床分析
腹腔镜,,贲门失弛缓症；腹腔镜；胸腔镜,1资料与方法,2结果,3讨论,参考文献：
【摘要】目的：探讨腹腔镜治疗贲门失弛缓症的可行性、手术方法及临床应用价值。方法：分析近年腹腔镜治疗贲门失弛缓症29例及胸腔镜组54例的临床资料。术前食管X线钡餐检查，均可见食管近端扩张，贲门呈鸟嘴样狭窄。食管镜检查见食管扩张，贲门紧闭进镜受阻。结果：无手术死亡病例及中转手术。结论：腹腔镜治疗贲门失弛缓症较胸腔镜具有手术时间及住院时间短，并发症少，术后吞咽困难症状缓解率高，食管返流低等优势，手术操作腹腔镜HellerDor较Toupet更具优势应作为首选。【关键词】 贲门失弛缓症；腹腔镜；胸腔镜
Laparoscopic management of esophageal achalasia
GUO Lü,GU Jianwei,ZHU Jingyuan,et al.
The First Department of Surgery,Kunshan Traditional Chinese Medicine Hospital,Kunshan 215300,China
【Abstract】 Objective: To discuss the feasibility for laparoscopic management in treating of achalasia.Methods:Review totall 29 cases include 27 cases that undergone laparoscopic treatment which had been reported recently and 2 cases that undergone laparoscopic treatment in our hospital,and 54 cases that undergone throracoscopic treatment that had been reported recently.All the patients were studied by roentgenographic and endoscopic.Results:No patient died or was converted to open procedure.Conclusions:Laparoscopic myotomy is a preferred surgical treatment of achalasia to throracoscopic treatment in effective,hospital stay time,reflux rate,and complication. ......
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