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目的评价食管裂孔疝合并缺铁性贫血患者腹腔镜下修补食管裂孔疝后纠正贫血效果。方法回顾性分析2006年6月至2014年2月,新疆维吾尔自治区人民医院26例食管裂孔疝合并缺铁性贫血患者,施行腹腔镜下食管裂孔疝修补手术前、后血红蛋白变化的临床资料,并根据术后定期随访复查血常规结果,了解贫血纠正情况。结果 26例食管裂孔疝合并缺铁性贫血患者均施行食管裂孔疝修补术,无中转开腹,术后1、3、6、12个月门诊随访复查血常规,26例患者贫血均有明显改善,其手术前、后血红蛋白含量分别为(82.73±14.04)g/L,(120.88±8.94)g/L,2组比较差异有统计学意义(P<0.01)。结论食管裂孔疝是缺铁性贫血的病因之一,腹腔镜下食管裂孔疝修补术可有效地治疗食管裂孔疝合并缺铁性贫血。
Objective To evaluate the effect of correcting anemia after laparoscopic repair of esophageal hiatal hernia in esophageal hiatal hernia patients with iron deficiency anemia. Methods The clinical data of 26 patients with esophageal hiatal hernia and iron deficiency anemia who underwent laparoscopic esophageal hiatal hernia repair before and after operation were analyzed retrospectively from June 2006 to February 2014 in People’s Hospital of Xinjiang Uygur Autonomous Region. Regular follow-up postoperative blood routine results to understand the situation of anemia correction. Results Esophageal hiatal hernia repair was performed in 26 patients with esophageal hiatal hernia and non-iron-deficiency anemia. All the patients were followed up for 1, 3, 6 and 12 months after operation, and the anemia was significantly improved in 26 patients The hemoglobin contents before and after surgery were (82.73 ± 14.04) g / L and (120.88 ± 8.94) g / L, respectively. The difference between the two groups was statistically significant (P <0.01). Conclusions Esophageal hiatal hernia is one of the causes of iron deficiency anemia. Laparoscopic repair of esophageal hiatal hernia can effectively treat hiatal hernia and iron deficiency anemia.