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目的总结经腹手术治疗贲门失弛缓症的临床经验。方法回顾分析对18例贲门失弛缓症患者,均行经中上腹部正中切口食管下段前壁肌层切开部分胃底折叠固定术。结果症状完全缓解16例,明显好转2例。结论经腹入路有手术操作简单易行,创伤小,并发症少,可有效预防术后反流性食管炎的发生。
Objective To summarize the clinical experience of transabdominal surgery for achalasia. Methods Retrospective analysis of 18 cases of achalasia patients were performed through the middle and upper abdominal incision in the anterior segment of the anterior esophageal muscle myometrial incision part of the fundus folding fixation. Results The symptoms of complete remission in 16 cases, significantly improved in 2 cases. Conclusion Transabdominal approach has the advantages of simple and easy operation, less trauma and fewer complications, which can effectively prevent postoperative reflux esophagitis.