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首页> 外文期刊>Surgical Endoscopy >Laparoscopic esophagomyotomy with posterior partial fundoplication for primary esophageal motility disorders.
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Laparoscopic esophagomyotomy with posterior partial fundoplication for primary esophageal motility disorders.

机译：腹腔镜食管肌切开术配合后部分胃底折叠术治疗原发性食管动力障碍。

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BACKGROUND: The outcomes of a laparoscopic esophagomyotomy with posterior partial fundoplication were compared between groups of patients with primary motility disorders. METHODS: In this study, 47 patients (26 women and 21 men, ages 24 to 77 years; mean, 47 years) with significant dysphagia or chest pain who failed conservative treatment underwent a laparoscopic esophagomyotomy and posterior partial fundoplication. Preoperative evaluation revealed four groups of primary motility disorders: achalasia (n = 12), nutcracker esophagus (n = 12), hypertensive lower esophageal sphincter (LES) (n = 16), and diffuse esophageal spasm (n = 7). Statistical analysis was performed by Cramer's V test. RESULTS: Average follow-up period was 30.3 months. There was no mortality or early morbidity. Late morbidity included dysphagia or chest pain over 6 weeks in 10 patients (21%), recurrent gastroesophageal reflux disease (GERD) in 3 patients (6%), and recurrent motility disorder in 2 patients (4%). Overall, 94% of the patients ultimately had complete resolution of dysphagia or chest pain. There was no significant difference in outcomes between groups. CONCLUSION: Early results suggest that laparoscopic esophagomyotomy with posterior partial fundoplication provides safe and effective relief from dysphagia and chest pain in patients with each of the primary motility disorders.
机译：背景：在原发性运动障碍患者组之间比较了腹腔镜食管肌切开术与后部分胃底折叠术的结果。方法：在本研究中，对47例患有严重吞咽困难或胸痛的保守治疗无效的患者（26例女性和21例男性，年龄24至77岁，平均47岁）进行了腹腔镜食管肌切开术和后部分胃底折叠术。术前评估发现四组原发性运动障碍：门失弛缓症（n = 12），胡桃夹食管（n = 12），高血压食管下括约肌（LES）（n = 16）和食管弥漫性痉挛（n = 7）。统计分析通过Cramer的V检验进行。结果：平均随访时间为30.3个月。没有死亡或早期发病。晚期发病包括吞咽困难或胸痛超过6周10例（21％），复发性胃食管反流病（GERD）3例（6％）和复发性运动障碍2例（4％）。总体而言，94％的患者最终完全解决了吞咽困难或胸痛。两组之间的结局无显着差异。结论：早期结果表明，腹腔镜食管肌切开术配合后部部分胃底折叠术可以安全有效地缓解每种原发性运动障碍患者的吞咽困难和胸痛。

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