摘要
目的探讨经内镜球囊“双向控制”法扩张治疗贲门失弛缓症的疗效和安全性。方法选择Boston专用贲门扩张球囊(直径35mm),采用病人感觉和内镜观察相结合的“双向控制”法扩张,术后定期随访和检查,观察患者临床症状缓解与复发、内镜和X线钡餐检查结果。结果56例患者治疗后症状都得到缓解,术中有贲门黏膜撕裂、擦伤、渗血等,未发生穿孔、呕血或黑便。术后随访6￣54个月,平均31个月,总有效率98.2%(55/56),其中显效率83.9%(47/56),有效率14.3%(8/56);复发率1.8%(1/56)。此外出现反酸、烧心2例(3.6%)。结论经内镜球囊“双向控制”法扩张是治疗贲门失弛缓症安全、有效的方法。
[Objective] To evaluate the efficacy and safety of endoscopic balloon dilatation in ＂two-way control＂ for pafions with achalasia. [Methods] Pafionts with achalasia, were treated by the Boston cardia balloon （35mm in diameter） under endoscopy through the method of ＂two-way control＂, followed up survey by endoscopy and esophageal barium radiography as well as symptoms were investigated periodically. [Results] The dysphagia symptoms remitted in all of the 56 pations, and mucosal lacerations, abrasions, oozing of blood, were found in this process but without complication of perforation, haematemesis and melena. The following up ranged from 6 months to over 4.5years, and average was 31 months. The rate of remission of symptoms was 98.2% （55/56）, and the rate of recurrence of symptoms was 1.8%（1/56）. In addition, there were 3.6% （2/56） of pations with acid-reflux and heartburnsym ptoms during the followed up. [Conclusions] Endoscopic cardia balloon dilatation in ＂two-way control＂ for achalasia is an effective and safe method.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第7期681-683,共3页
China Journal of Endoscopy
