探讨基层医院开展腹腔镜手术治疗滑动型食管裂孔疝合并反流性食管炎手术的疗效及可行性。

收集2009年3月至2014年12月，焉耆县人民医院诊断为滑动型食管裂孔疝合并反流性食管炎的10例患者，采用腹腔镜探查并行食管裂孔疝修补同时行胃底折叠术。

10例手术顺利完成，无中转开腹，平均手术时间113 min，平均出血量45.5 ml，平均住院时间7.6 d，术后1、6个月行胃镜复查显示患者的食管炎治愈，食管及胃溃疡病灶较前明显好转，术后随访11～18个月未出现疝复发及胃食管反流症状。

对于滑动型食管裂孔疝合并反流性食管炎患者可以采用腹腔镜食管裂孔疝修补联合胃底折叠术抗反流治疗，在有腹腔镜条件及中转开腹经验的县级医院可以开展，其手术创伤小、手术效果较理想，值得临床推广。

Evaluate the clinical effects and feasibility of hiatal hernia and gastroesophageal by laparoscopic in primary hospital.

Form March 2009 to December 2014, 10 cases of hiatal hernia and gastroesophageal in Yanqi people′s Hospital, all the patients was done Nissen fundoplication and 7cases underwent patch repair for hiatal hernia.

10 cases all be done by laparoscopic, no one conversion to laparotomy.The operation time was 113 min, blood loss were 45.5ml, mean postoperative hospital stay were 7.6 days.Esophagitis and esophageal ulceration cured were observed by gastroscope after operation at first month and sixth month, With the follow-up of 11 to 18 months, 10 cases no recurrence and no gastroesophageal.

Nissen fundoplication and patch repair by laparoscopic is a safe and reliable treatment for hiatal hernia and gastroesophageal, The primary hospital with laparoscopic equipment facility and experience of conversion to laparotomy can do this treatment, it can product remarkable long-term clinical and social effects.