胃食管反流病和食管裂孔疝替代性抗反流手术的长期效果

V. A. Baulin, A. A. Gulyaev, A. Baulin, O. A. Baulinа, L. A. Averyanova, V. A. Starodubtsev
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引用次数: 0

摘要

文章主要介绍了一种新方法在胃食管反流病和食管裂孔疝开腹和腹腔镜手术中的应用。该技术的精髓在于用异种心包和丙烯或仅丙烯的联合胶带将食管-胃交界处固定在横膈膜下。文中提供了 126 名患者的尼森手术结果与 258 名患者的新方法结果的比较数据。作者使用了一个原创的比较结果评估量表,该量表综合了胃食管反流病和食管裂孔疝手术后遇到的主要负面结果,以及 Visick 量表。新技术的优势在统计学上得到了可靠的证明,其中特别强调了在使用过程中不会出现吞咽困难、腹泻和淤血等严重并发症。
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Long-term results of alternative antireflux surgery for gastroesophageal reflux disease and hiatal hernia
The article is devoted to the use of a new method in open and laparoscopic surgery of gastroesophageal reflux disease and hiatal hernia. The essence of the technique is to fix the esophageal-gastric junction under the diaphragm with a combined tape of xenopericardium and propylene or propylene only. Comparative data on the results of Nissen operations in 126 patients and the new method in 258 patients are presented. The authors used an original comparative outcome assessment scale, which combines the main negative outcomes encountered after operations for gastroesophageal reflux disease and hiatal hernia, as well as Visick scale. The advantage of the new technique has been statistically reliably proven, where the absence of such severe complications as dysphagia, diarrhea, and stasis in its use is especially emphasized.
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