关键词: 食管裂孔疝, 膈疝, 胃食管反流病, 外科治疗

Abstract: Differences and Similarities in diagnosis and treatment of hiatal hernia and diaphragmatic hernia and surgical strategy        YANG  Fu-quan. Department of General Surgery, Colonrectum and Hernia Surgical Ward, Shengjing Hospital of China Medical University, Shenyang 110004, China 
Abstract    Both hiatal hernia and diaphragmatic hernia have similar clinical manifestations related to the hernia disease, and esophageal hiatus hernia is often accompanied by symptoms related to gastroesophageal reflux. Chest CT is helpful for the diagnosis of diaphragmatic hernia. Patients with esophageal hiatal hernia also need gastroscopy and esophageal pressure and PH measurement to determine the gastroesophageal reflux. According to the patient's clinical symptoms and auxiliary examination results, the corresponding treatment plan is formulated. Surgical repair is an effective method to treat hiatal hernia and diaphragmatic hernia. For patients with gastroesophageal reflux symptoms, fundoplication anti-reflux surgery is needed at the same time, and partial research evidence suggest that mash reinforcement repair is helpful to reduce the recurrence rate. 

Key words: hiatal hernia, diaphragmatic hernia, gastroesophageal reflux disease, surgical management