探讨腹腔镜下食管裂孔疝修补术在基层医院的治疗效果。

选择2017年9月至2019年9月，新疆民心医院被诊断为食管裂孔疝行腹腔镜食管裂孔疝修补术患者25例，其中胃底360°折叠术（Nissen术）患者18例，胃底270°部分折叠术（Toupet术）患者7例，所有患者术前和术后均填写胃食管反流病调查问卷（Gerd Q），并对患者术前与术后Gerd Q评分、食管外症状的差别进行统计学分析。

25例腹腔镜食管裂孔疝修补术全部成功。手术时间110（70~190）min，失血量10~50 ml；术后24~48 h 进流质饮食，无手术切口感染、术后大出血、补片不良反应等并发症发生；所有患者平均住院时间7~11 d，术后平均随访8.6个月，多数患者术后胸痛、反酸、嗳气、哮喘等症状明显得到改善，术前与术后比较Gerd Q评分差异有统计学意义（P＜0.05）。

腹腔镜食管裂孔疝修补术是一种可行的手术方法，手术效果满意，在基层医院临床上值得进一步推广价值。

Laparoscopic hiatal herniorrhaphy has become the standard practice for most surgeons to perform anti-reflux surgery. The purpose of this study was to investigate the therapeutic effect of laparoscopic esophageal hiatal herniorrhaphy.

a total of 25 patients with esophageal hiatal hernia diagnosed in our hospital from 2017 to 2019 were treated with laparoscopic esophageal hiatal herniorrhaphy, including 7 cases of gastric fundus partial folding (Toupet) and 18 cases of gastric fundus folding (Nissen). All patients completed gastroesophageal reflux disease questionnaire (Gerd Q) before and after operation, and the differences of Gerd Q and extraesophageal symptoms before and after operation were statistically analyzed.

all the 25 cases of laparoscopic esophageal hiatal hernia repair were successful. The operation time was 110 (70~190) min, blood loss 10~50 h mL; after operation 24 h~48 h fluid diet. There were no complications such as incision infection, postoperative massive hemorrhage, patch adverse reactions and so on. All patients were hospitalized for an average of 7~11 days and followed up for an average of 8.6 months. The health-related symptoms such as chest pain, acid regurgitation, belching and asthma were significantly improved in most patients. There was significant difference in Gerd Q score between pre-operation and post-operation.

laparoscopic esophageal hiatal herniorrhaphy is a feasible method with satisfactory results, it has the advantages of faster recovery, less trauma and less postoperative complications, so it is worth further popularizing and applying in clinic.