分析腹腔镜下食管裂孔疝（HH）修补术联合胃底折叠术治疗HH合并胃食管反流病（GERD）的临床疗效。

回顾性分析自2008年1月至2023年12月在新疆巴音郭楞蒙古自治州人民医院普外科住院手术的78例HH合并GERD患者的临床资料。记录患者术前和术后随访的胃食管反流疾病问卷（GERD-Q）、反流性疾病问卷（RDQ）、反流症状指数问卷（RSIQ）评分，体质量、体质量指数（BMI）等指标，采用配对t检验比较术前与术后上述指标的差异，采用双变量Pearson相关分析RDQ和RSI量表评分、体质量、BMI与症状严重程度（GERD-Q评分）的相关性。

术后GERD-Q评分从（11.27±1.95）分降至（6.51±1.18）分、RDQ评分从（17.78±3.71）分降至（8.76±2.23）分、RSIQ评分从（18.94±3.84）分降至（9.11±2.31）分，体质量从（68.67±10.33）kg降至（63.73±6.84）kg，BMI从（24.01±4.12）kg/m²降至（22.30±3.17）kg/m²，与术前相比差异均具有统计学意义（t=22.501、27.589、23.993、7.807、7.726，P均<0.001）。RDQ、RSI量表评分、体质量、BMI与症状严重程度（GERD-Q评分）呈正相关（r = 0.557、0.514、0.283、0.386；P<0.001、<0.001、=0.012、<0.001）。

腹腔镜下HH修补术联合胃底折叠术可有效治疗HH合并GERD，达到改善反流症状和减重的作用。

To analyze the clinical efficacy of laparoscopic hiatal hernia (HH) repair combined with fundoplication in the treatment of HH combined with gastroesophageal reflux disease (GERD).

The clinical data of 78 patients with HH combined with GERD who were hospitalized and operated in the Department of General Surgery of Bayin’guoleng Mongol Mongol People’s Autonomous Prefecture Hospital in Xinjiang from January 2008 to December 2023 were retrospectively analyzed. The Gastroesophageal Reflux Disease Questionnaire (GERD-Q), Reflux Disease Questionnaire (RDQ), Reflux Symptom Index Questionnaire (RSIQ) scores, body mass, and Body Mass Index (BMI) of the patients at the preoperative and postoperative follow-ups were recorded, Paired t-tests were used to compare the differences in these indicators between the preoperative and postoperative periods. Bivariate Pearson correlation analysis was used to assess the correlation between RDQ and RSI scale scores, body weight, BMI, and symptom severity (GERD-Q score).

Postoperatively, the GERD-Q score decreased from (11.27±1.95) to (6.51±1.18), the RDQ score from (17.78±3.71) to (8.76±2.23), the RSIQ score from (18.94±3.84) to (9.11±2.31), and body mass from (68.67±10.33) kg to (63.73±6.84) kg, and BMI decreased from (24.01±4.12) kg/m² to (22.30±3.17) kg/m², all of which were statistically significant differences compared with the preoperative period (t = 22.501, 27.589, 23.993, 7.807, and 7.726, all P<0.001); correlation analyses of GERD-Q scores showed that RDQ, RSI scale score, body weight, and BMI were positively correlated with Gerd symptom severity, and the difference was statistically significant (r=0.557, 0.514, 0.283, 0.386, P<0.001, <0.001, = 0.012, <0.001).

Laparoscopic HH repair combined with fundoplication can be effective in treating HH combined with GERD and achieve improvement of reflux symptoms and weight loss.