作者对93例患者进行了裂乳疝和返流性食管炎之间关系的比较,46例食管内窥镜检正常者59%见有裂孔疝,而47例返流性食管炎之阳性和阴性的预测率分别为62%和86%。说明裂孔疝与返流性食管炎之间关系紊乱。作者指出,以往描述裂孔疝常伴发返流性食管炎,这种错误的理解常导致对纠正裂孔疝采取了不适当的手术治疗,而不是预防食管返流的发生。现在概念认为返流性食管炎产生于食管下段括约肌功能不良。结果对可疑返流性食管炎进 The authors compared the relationship between fissure fistula and reflux esophagitis in 93 patients, 46% of 46 patients with normal esophageal endoscopy had hiatal hernia, and 47 cases of positive and negative reflux esophagitis. The prediction rates are 62% and 86% respectively. It shows that the relationship between hiatal hernia and reflux esophagitis is disordered. The authors pointed out that the previous description of hiatal hernia was often associated with reflux esophagitis. This misunderstanding often led to improper surgical treatment of the herniated hernia, rather than prevention of esophageal reflux. The current concept is that reflux esophagitis arises from poor esophageal sphincter dysfunction. Results for suspicious reflux esophagitis