中国实用外科杂志2025，Vol.45Issue(4)：465-468,472,5.DOI:10.19538/j.cjps.issn1005-2208.2025.04.15
应用食管胃结合部充盈超声造影对食管裂孔疝诊断和术后随访价值研究
Application value of contrast-enhanced ultrasound in the diagnosis and postoperative follow-up of esophageal hiatal hernia at the junction of the esophagus and stomach
摘要
Abstract
Objective Exploring the application of contrast-enhanced ultrasound in the diagnosis and postoperative follow-up of esophageal hiatal hernia.Methods Retrospective analysis of clinical data of 68 patients with esophageal hiatal hernia who underwent laparoscopic repair and gastric fundus folding surgery in the Department of Hernia and Abdominal Wall Surgery at the Sixth Affiliated Hospital of Sun Yat-sen University from August 2022 to August 2023.According to whether filling ultrasound contrast was performed,patients were divided into a contrast group(35 cases)and a control group(33 cases).The positive diagnosis rate of esophageal hiatal hernia,GERD symptom relief rate,postoperative complications,satisfaction with therapeutic effect,and satisfaction with follow-up were analyzed and compared between the two groups.Results The highest positive rate for diagnosing esophageal hiatal hernia in the contrast-enhanced ultrasound examination group was 100％,while the highest positive rate for gastroscopy diagnosis in the conventional group was 75.8％.There was no statistically significant difference between the two groups of patients in terms of folding method,surgical time,hospital stay,postoperative complications,GERD symptom relief rate,efficacy satisfaction,and postoperative complications(all P＞0.05).The average follow-up time for the imaging group and the conventional group was 10.5 months and 8.9 months,respectively.The satisfaction with follow-up was higher in the imaging group than in the conventional group(82.8％vs.48.5％,P＜0.05).Conclusion Esophageal gastric junction filling contrast-enhanced ultrasound has the advantages of fast,accurate,non-invasive,and good compliance in the diagnosis and postoperative follow-up evaluation of esophageal hiatal hernia.It is worth promoting and applying in the screening of esophageal hiatal hernia populations and postoperative follow-up.关键词
充盈超声造影/食管裂孔疝/食管胃结合部/诊断/随访Key words
filling contrast-enhanced ultrasound/hiatal hernia/the junction of esophagus and stomach/diagnosis/follow-up分类
医药卫生引用本文复制引用
马宁,蒋清凌,刘广健,周太成,刘创雄,陈双..应用食管胃结合部充盈超声造影对食管裂孔疝诊断和术后随访价值研究[J].中国实用外科杂志,2025,45(4):465-468,472,5.基金项目
国家临床重点专科项目(No.2012649) （No.2012649）
广东省中医药局科研项目(No.20231068) National Clinical Key Specialty Construction Project(No.2012649) （No.20231068）
Scientific Research Project of Guangdong Provincial Administration of Traditional Chinese Medicine(No.20231068) （No.20231068）
