摘要
食管裂孔疝的发病率较高,并且会造成胃食管反流、吞咽异常以及食管外症状,严重危及患者生命和生活质量。腹腔镜食管裂孔疝修补术(LHHR)恢复食管下端抗反流的功能,改善患者的生活质量。但是,LHHR围手术期的管理尚未引起相关领域专家的重视。其中,静脉血栓栓塞症(VTE)是围手术期间常见的并发症之一,是世界上第三大最常见的血管疾病导致死亡原因。VTE不仅围手术期间发生率高,并且是造成食管裂孔疝患者围手术期死亡的重要原因。因此本文将对LHHR围手术期静脉血栓栓塞症的危险因素和防治策略进行综述,以期降低食管裂孔疝修补术后VTE的发生率。
Hiatal hernias have a high incidence and can cause gastroesophageal reflux,swallowing abnormalities,as well as extra esophageal symptoms,seriously compromising patient life and quality of life.Laparoscopic hiatal hernia(LHHR)repair restores the function of anti reflux at the lower esophagus and improves the quality of life of patients.However,the management of the perioperative period of LHHR has not attracted much attention from experts in the related fields.Among them,venous thromboembolism(VTE)is one of the common complications during the perioperative period and is the third most common cause of death due to vascular disease in the world.VTE not only has a high perioperative incidence,but is an important cause of perioperative mortality in patients with hiatal hernia.This article will therefore review the risk factors and management strategies for perioperative venous thromboembolism in laparoscopic hiatal hernia repair,with a view to reducing the incidence of VTE after hiatal hernia repair.
作者
黎鑫
艾克拜尔·艾力
克力木·阿不都热依木
Li Xin;Aikebaier·Aili;Kelimu·Abudureyimu(Department of Minimally Invasive,Hernia and Abdominal Surgery,People's Hospital of Xinjiang Autonomous Region,Urumqi 830011,China;Graduate School,Xinjiang Medical University,Urumqi 830054,China;Institute of General Surgery and Minimally Invasive Surgery,Xinjiang Uygur Autonomous Region,Urumqi 830011,China;Clinical Research Center for Gastroesophageal Reflux Disease and Weight Loss and Metabolic Surgery,Xinjiang Uygur Autonomous Region,Urumqi 830011,ChinaCorresponding)
出处
《中华胃食管反流病电子杂志》
2023年第1期42-45,共4页
Chinese Journal Of Gastroesophageal Reflux Disease(Electronic Edition)
关键词
腹腔镜
食管裂孔疝修补术
围手术期
静脉血栓栓塞症
危险因素
Laparoscope
Repair of esophageal hiatal hernia
Perioperative period
Venous thromboembolism
Risk factors
