【摘要】 目的:评价生物补片应用于腹腔镜抗反流手术治疗胃食管反流病的效果。方法:回顾2012年12月至2014年4月在浙江大学医学院附属邵逸夫医院普外科收治的20例有典型临床症状的胃食管反流病患者,接受腹腔镜食管裂孔修补加360°胃底折叠术,使用4层猪小肠黏膜下层基质补片进行食管裂孔加强修补。结果:20例患者的腹腔镜手术均成功,未发生术中并发症。术后症状均消失,随访3~18个月未复发,有6例患者出现吞咽困难,其中5例经保守治疗好转,1例接受食管下端扩张术。结论:腹腔镜抗反流手术治疗胃食管反流病时,使用4层猪小肠黏膜下层基质补片进行食管裂孔加强修补的效果令人满意。更多还原

【Abstract】 Objective:To evaluate the application of biological mesh in laparoscopic anti-reflux procedure for gastroesophageal reflux disease（GERD）.Methods:The clinical data of 20 consecutive GERD patients underwent anti-reflux surgery in Sir Run Run Shaw Hospital from December 2012 to April 2014 were retrospectively analyzed.The laparoscopic hiatal repair with 360 fundoplicaiton was performed and the biological mesh(Biodesign^TM,Surgsis) was implanted for reinforcement of hiatal repair.Results:All laparoscopic procedures were successful,no conversion and no intra-operative complications occurred.The pre-operative complains were relieved in all patients,and no recurrence was observed during 3-18 month of follow-up.Six patients got dysphagia after operation;5 of them were controlled through medication and psychological induction;1 received esophageal dilatation by bougie.Conclusion:The application of biological mesh in laparoscopic anti-reflux procedure for gastroesophageal reflux disease is satisfactory.更多还原