手术治疗贲门失弛缓症36例
贲门失弛缓症；Heller+Nissen手术,,贲门失弛缓症；Heller+Nissen手术,【摘要】,【关键词】,1临床资料,2讨论,【参考文献】
【摘要】 目的 探讨贲门失弛缓症手术方法及效果。方法 回顾性分析36例贲门失弛缓症采用Heller+Nissen手术治疗效果，男20例，女16例，平均年龄36岁，经胸手术32例，经腹手术4例，术中保护迷走神经，重建食管—胃His角和贲门功能，保护剥离食管黏膜创面。结果 36例无手术死亡，术后10天后均能进普食。随访5年，钡餐摄片，食管无狭窄，食管镜检查，2例食管下段轻度糜烂，余34例正常。结论 贲门失弛缓症行Heller+Nissen手术效果好。【关键词】 贲门失弛缓症；Heller+Nissen手术
【Abstract】 Objective To investigate the operating methods and result on achalasia of cardia.Methods Operating result with Heller and Nissens methods treated 36 patients with achalasia of cardia was analysed.Male was 20 cases,Female was 16 cases.The average age was 36 years.32 patients were operated enter chest.4 patients were operated via abdomin.Protecting vagus never in operating.Constructing esophagus and gastric His horn and function again.Protecting esophagus mucous that it was came off.Results 36 patients no died by operation.36 patients all ate general food after operation 10 day.36 cases was followed up for 5 years.Esophagus and cardia of 36 cases no narrow.Esophaguscopy examination,low section of esophagus mucous of 2 cases was mild decompose,other of 34 cases was normal.Conclusion There was good result with Heller and Nissen operating treat achalasia of cardia. ......
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