摘要
目的 :探讨内镜直视下球囊扩张治疗贲门失弛缓症的疗效。方法 :内镜直视下应用食管球囊扩张器对失弛缓贲门进行扩张 ,术后定期随访 ,经内镜和上消化道钡餐检查 ,对症状缓解或复发与否进行评价。结果 :38例中重度贲门失弛缓症状消失 ,经 1～ 3次扩张治疗 ,吞咽困难症状消失 ,缓解率依次为 42 .1 1 % (1 6/38)、90 .91 % (2 0 /2 2 )、1 0 0 .0 0 % (2 /2 )。有贲门粘膜撕裂、渗血者 76 .32 % (2 9/38) ,但无大出血及穿孔等并发症。每 0 .5、1、2、3年各随访一次 ,平均 1 .8年 ,复发率依次 5 .2 6 % (2 /38)、1 0 .53 % (4/38)、1 5 .79% (6/38)、1 6 .67% (5/30 ) (P >0 .0 5)。 0 .5年内出现反酸 ,烧心者为 31 .58% (1 2 /38) ,经内镜诊断为轻度反流性食管炎2 1 .0 5 % (8/38) ,以后随访中未发现。结论 :内镜直视下球囊扩张治疗贲门失弛缓症近期疗效肯定 ,远期疗效满意 。
Objective:To evaluate the efficacy of endoscopic direct optical balloon therapy for achalasia. Methods:Patients with achalasia were treated by esophageal balloon dilatation under endoscopy , followed up survey by endoscopy and esophageal barium radiography as well as their symptoms were investigated periodically . Results:The dysphagia symptoms remitted in all of the 38 patients were treated by one, two or three times. The rate of remission was 42.11% (16/38) , 90.91% (20/22) , 100.00% (2/2) cardiac orifice mucosal laceration and oozing of blood was 76.32% (29/38), but without complication of perforation and massive hemorrhage. The following up ranged from 6 months to over 3 years, four times, and average was 1.8 years . The rate of recurrence of symptoms was 5.26% (2/38), 10.53% (4/38),15.79%(6/38), 16.67%(5/30)respectively. In addition, there were 31.58%(12/38) of patients with acid-reflux symptoms in 0.5 years, and 21.05%(8/38) reflux esophagitis during the followed-up.Conclusion: Endoscopic esophageal balloon dilatation for achalasia is an effective and safe method not only in the short-term but also in the long-term.
出处
《中国内镜杂志》
CSCD
2003年第5期17-18,20,共3页
China Journal of Endoscopy
