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目的 :探讨防粘连复合补片在腹腔镜食管裂孔疝修补术中的应用。方法 :2009年9月至2013年11月,对本院120例食管裂孔疝病人应用防粘连复合补片行腹腔镜裂孔疝修补术。结果:手术均成功,平均手术时间(72±22)(42~130)min。平均术中出血量(12±14)(0~50)m L,无输血。术后平均住院时间为(3.5±1.6)(2~7)d。术后随访6~48个月,33%的病人呼吸道症状完全消失,59%的病人不同程度缓解。满意度达93%。解剖学复发6例,其中症状复发2例,无补片并发症发生。结论:严格掌握手术适应证,防粘连复合补片在腹腔镜食管裂孔疝修补术中的应用安全有效。
Objective: To investigate the application of anti-adhesion composite patch in laparoscopic esophageal hiatal hernia repair. Methods: From September 2009 to November 2013, laparoscopic hiatal hernia repair was performed on 120 patients with esophageal hiatal hernia using anti-adhesion composite patch. Results: The operation was successful. The average operation time was (72 ± 22) (42 ~ 130) min. Mean intraoperative blood loss (12 ± 14) (0 ~ 50) m L, no blood transfusion. The average postoperative hospital stay was (3.5 ± 1.6) days (2 to 7) days. After 6 to 48 months of follow-up, 33% of patients completely disappeared respiratory symptoms, 59% of patients with varying degrees of relief. Satisfaction up to 93%. Anatomy recurrence in 6 cases, of which 2 cases of recurrence of symptoms, no complications of the patch. Conclusion: Strict control of surgical indications, anti-adhesion composite patch in laparoscopic esophageal hiatal hernia repair application is safe and effective.