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从1959年4月至1979年2月,我科收治贲门痉挛38例,占胸外科住院总人数的1.9%。现对施行手术治疗的35例进行随访,随访率97.14%(34/35)。本文就我们的资料试比较Heller手术治疗贲门痉挛的近期和远期疗效;探讨远期疗效与手术合并症、远期疗效与近期疗效之间的关系;比较远期疗效与病史长短、手术操作的进步、术后经历时间的关系;然后就Heller手术治疗贲门痉挛的远期疗效、合并症和癌变问题进行讨论;重新估价Heller手术的适应症;对贲门痉挛的治疗提出四点建议。
From April 1959 to February 1979, 38 cases were admitted to our department, accounting for 1.9% of the total number of hospitalized thoracic surgeries. 35 patients undergoing surgical treatment were followed up with a follow-up rate of 97.14% (34/35). This article compares the short-term and long-term outcomes of Heller’s surgical treatment of stenosis in our data; explores the relationship between long-term outcomes and surgical comorbidities, long-term outcomes, and short-term outcomes; compares long-term outcomes with the length of history and surgical procedures. The relationship between progress and postoperative time; then discussion on the long-term efficacy, comorbidities, and carcinogenesis of Heller’s surgical treatment; re-evaluation of the indications for Heller surgery; and four suggestions for the treatment of cardiac fistulas.