腹腔镜疝修补术治疗食管裂孔疝合并缺铁性贫血的临床疗效分析OA
Clinical efficacy analysis of laparoscopic hernia repair in treating hiatal hernia with iron-deficiency anemia
目的:探讨腹腔镜食管裂孔疝修补术(LHHR)治疗合并缺铁性贫血(IDA)的食管裂孔疝(HH)病人的临床疗效.方法:回顾性分析2012年1月至2024年12月本院收治的195例HH合并IDA病人的临床资料.所有病人均接受(LHHR),比较其术前(入院时)与术后12个月的血红蛋白(Hb)水平、贫血症状改善情况及胃食管反流病问卷(GERD-Q)评分.结 果:195例中,女性129例(66.2%),巨大型HH 80例(41.0%).18～40岁13例(6.7%),41～60岁78例(40.0%),≥60岁104例(53.3%).术后12个月随访显示,Hb水平由术前的(108.4±12.6)g/L显著上升至(128.7±11.3)g/L(P<0.001),所有病人贫血症状均消失;GERD-Q评分由(11.2±2.1)分降至(7.0±1.5)分(P<0.001).影像学复查未见HH复发.结论:LHHR可有效纠正IDA,改善反流症状,短期疗效显著且安全.长期疗效仍需进一步随访评估.
Objective To investigate the clinical efficacy of laparoscopic hiatal hernia repair(LHHR)in patients with hiatal hernia(HH)complicated by iron-deficiency anemia(IDA).Methods A retrospective analysis was conducted on 195 HH patients with IDA who underwent LHHR at our hospital from January 2012 to December 2024.Preoperative and 12 months postoperative hemoglobin(Hb)levels,anemia-related symptoms,and Gastroesophageal Reflux Disease Questionnaire(GERD-Q)scores were compared.Results Among the 195 patients,129(66.2%)were female,and 80(41.0%)had massive HH.There were 13 patients(6.7%)aged 18-40 years,78(40.0%)aged 41-60 years,and 104(53.3%)over 60 years.At 12 months follow-up,Hb levels significantly increased from(108.4±12.6)g/L to(128.7±11.3)g/L(P<0.001),with resolution of anemia symptoms in all patients.GERD-Q scores decreased from(11.2±2.1)to(7.0±1.5)(P<0.001).No recurrence of HH was observed on imaging.Conclusions LHHR is effective in correcting IDA and alleviating reflux symptoms,demonstrating favorable short-term outcomes and safety.Long-term efficacy warrants further follow-up evaluation.
麦麦提艾力·麦麦提明;多力坤·牙生;黄卓;黄旭东;艾克拜尔·艾力;克力木·阿不都热依木
新疆维吾尔自治区人民医院微创、疝和腹壁外科,新疆胃食管反流病与减重代谢外科临床医学研究中心,新疆普外微创研究所,新疆 乌鲁木齐 830001新疆维吾尔自治区人民医院微创、疝和腹壁外科,新疆胃食管反流病与减重代谢外科临床医学研究中心,新疆普外微创研究所,新疆 乌鲁木齐 830001新疆维吾尔自治区人民医院微创、疝和腹壁外科,新疆胃食管反流病与减重代谢外科临床医学研究中心,新疆普外微创研究所,新疆 乌鲁木齐 830001新疆维吾尔自治区人民医院微创、疝和腹壁外科,新疆胃食管反流病与减重代谢外科临床医学研究中心,新疆普外微创研究所,新疆 乌鲁木齐 830001新疆维吾尔自治区人民医院微创、疝和腹壁外科,新疆胃食管反流病与减重代谢外科临床医学研究中心,新疆普外微创研究所,新疆 乌鲁木齐 830001新疆维吾尔自治区人民医院微创、疝和腹壁外科,新疆胃食管反流病与减重代谢外科临床医学研究中心,新疆普外微创研究所,新疆 乌鲁木齐 830001
医药卫生
食管裂孔疝缺铁性贫血腹腔镜修补术
Hiatal hernia(HH)Iron-deficiency anemia(IDA)Laparoscopic repair
《外科理论与实践》 2026 (1)
45-49,5
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