中国实用外科杂志

中国实用外科杂志

• 专题笔谈 • 上一篇    下一篇

食管裂孔疝修补手术中抗反流处理的综合考量

王知非，竺志豪，毛金磊，夏敏俊，周梦卉   

  1. 浙江省人民医院疝外科 胃食管反流中心，浙江杭州 310014
  • 出版日期:2024-04-01

  • Online:2024-04-01

摘要： 抗反流手术作为针对食管裂孔疝（HH）这一发病解剖机制的治疗手段，能够有效减少和控制HH带来的因胃食管反流造成的不适和机体损害。作为一项功能修复性手术，术者的目标是在解决原有痛苦的基础上带来更少的不良影响。HH病人胃食管反流情况复杂多样，应基于其主观症状和客观检查选择个体化手术治疗方式，并考虑不同的合并症。

关键词: 食管裂孔疝, 胃食管反流, 抗反流手术, 个体化治疗

Abstract: Comprehensive consideration of anti-reflux treatment in hiatal hernia repair        WANG Zhi-fei, ZHU Zhi-hao, MAO Jin-lei, et al. Department of Hernia and Abdominal Surgery & GERD Center, Zhejiang Provincial People's Hospital, Hangzhou 310014, China
Correspongding author: WANG Zhi-fei, E-mail: zhifei1973@126.com
Abstract    Anti reflux surgery, as a treatment for the anatomical mechanism of esophageal hiatal hernia (HH), can effectively reduce and control the discomfort and damage caused by gastroesophageal reflux caused by HH. As a functional restorative surgery, the surgeon's goal is to bring less adverse effects while addressing the existing pain. The situation of gastroesophageal reflux in HH patients is complex and diverse. Individualized surgical treatment should be selected based on their subjective symptoms and objective examination, and different comorbidities should be considered.

Key words: hiatal hernia, gastroesophageal reflux, anti-reflux surgery, personalized treatment