中国实用外科杂志2024，Vol.44Issue(4)：392-394,397,4.DOI:10.19538/j.cjps.issn1005-2208.2024.04.03
进一步认识食管裂孔疝治疗的特殊性
Further understanding the specificity of treatment for hiatal hernia
摘要
Abstract
Hiatal hernia(HH)is a special type of hernia.Although it shares structural similarities with other hernia diseases,its specificity is more reflected in clinical diagnosis and treatment,and many problems need to be explored and solved.Firstly,the diagnosis of HH should not only focus on distinguishing symptoms,but also comprehensively consider the results of gastroscopy,GI,CT,and high-resolution esophageal pressure and acid measurement;Secondly,HH is a common cause of GERD,but mechanical repair of esophageal hiatus alone often cannot achieve the effect of improving symptoms,so anti-reflux surgery is widely recognized.Laparoscopic HH repair surgery has been widely accepted nowadays,and traditional and some innovative fundoplication techniques have achieved good therapeutic effects.However,although da Vinci robotic surgery has certain technical advantages,it is still not widely carried out in China due to high cost.The debate over HH repair materials has always existed.For patients with large defects and weak diaphragmatic muscles,it is recommended to use meshes for hernia repair,but it should not be too large and requires conformal cutting,Synthetic materials and biological materials have their own advantages and disadvantages,which should be chosen according to discretion.There are many obese patients with concomitant HH,and their treatment is more complex.The combination of HH repair and weight loss surgery is widely accepted,and more clinical evidence is needed to verify it.关键词
食管裂孔疝/抗反流手术/补片/肥胖Key words
hiatal hernia/anti-reflux surgery/mesh/obesity分类
医药卫生引用本文复制引用
唐健雄,李绍杰..进一步认识食管裂孔疝治疗的特殊性[J].中国实用外科杂志,2024,44(4):392-394,397,4.基金项目
上海市科学技术委员会科研计划项目(No.19DZ1930800) （No.19DZ1930800）
申康医院发展中心医企融合创新成果转化专项项目(No.SHDC2022CRD021) （No.SHDC2022CRD021）
上海市市级医院适宜技术项目(No.SHDC12014211) （No.SHDC12014211）
