外科理论与实践2026，Vol.31Issue(1)：45-49,5.DOI:10.16139/j.1007-9610.2026.01.08
腹腔镜疝修补术治疗食管裂孔疝合并缺铁性贫血的临床疗效分析
Clinical efficacy analysis of laparoscopic hernia repair in treating hiatal hernia with iron-deficiency anemia
麦麦提艾力·麦麦提明 1多力坤·牙生 1黄卓 1黄旭东 1艾克拜尔·艾力 1克力木·阿不都热依木1
作者信息
- 1. 新疆维吾尔自治区人民医院微创、疝和腹壁外科,新疆胃食管反流病与减重代谢外科临床医学研究中心,新疆普外微创研究所,新疆 乌鲁木齐 830001
- 折叠
摘要
Abstract
Objective To investigate the clinical efficacy of laparoscopic hiatal hernia repair(LHHR)in patients with hiatal hernia(HH)complicated by iron-deficiency anemia(IDA).Methods A retrospective analysis was conducted on 195 HH patients with IDA who underwent LHHR at our hospital from January 2012 to December 2024.Preoperative and 12 months postoperative hemoglobin(Hb)levels,anemia-related symptoms,and Gastroesophageal Reflux Disease Questionnaire(GERD-Q)scores were compared.Results Among the 195 patients,129(66.2%)were female,and 80(41.0%)had massive HH.There were 13 patients(6.7%)aged 18-40 years,78(40.0%)aged 41-60 years,and 104(53.3%)over 60 years.At 12 months follow-up,Hb levels significantly increased from(108.4±12.6)g/L to(128.7±11.3)g/L(P<0.001),with resolution of anemia symptoms in all patients.GERD-Q scores decreased from(11.2±2.1)to(7.0±1.5)(P<0.001).No recurrence of HH was observed on imaging.Conclusions LHHR is effective in correcting IDA and alleviating reflux symptoms,demonstrating favorable short-term outcomes and safety.Long-term efficacy warrants further follow-up evaluation.关键词
食管裂孔疝/缺铁性贫血/腹腔镜修补术Key words
Hiatal hernia(HH)/Iron-deficiency anemia(IDA)/Laparoscopic repair分类
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麦麦提艾力·麦麦提明,多力坤·牙生,黄卓,黄旭东,艾克拜尔·艾力,克力木·阿不都热依木..腹腔镜疝修补术治疗食管裂孔疝合并缺铁性贫血的临床疗效分析[J].外科理论与实践,2026,31(1):45-49,5.
