内镜下气囊扩张治疗贲门失弛缓症的近、远期疗效

目的 :回顾气囊扩张治疗贲门失弛缓症的近、远期疗效及治疗过程中的经验。方法 :对经食管吞钡X线拍片确诊的 16例贲门失弛缓症患者 ,采用内镜下气囊扩张治疗并评价其近、远期疗效。结果 :近期疗效 :16例患者中 ,12例 (75 % )显效 ,4例 (2 5 % )有效 ,总有效率为 10 0 % ;远期疗效 :16例患者中 ,1例 2周后复发经再次扩张治疗后未复发 ,另有 1例在治疗后的半年内复发扩张治疗后 ,半年再次复发 ,经直径 4 .0cm气囊扩张后 4年未复发。结论 :气囊扩张治疗贲门失弛缓症有效、易操作、安全、并发症少及复发率低 ,但有较多的细小经验及体会值得总结 ,以便更完善和更成熟。

Endoscope Down the Air Sac Expand to Treat Near, Post Date Curative Effect Observation of Achalasia

Objective: To investigate the near, post date curative effect of air sac expand to treat Achalasia and to realize the experience in the process of treating. Methods: To diagnose 16 Achalasia by oesophagus barium X,endoscope is down the air sac expand to treat, curative effect is divided into near, post date appraisal. Results: Near curative effect:in 16 cases,12 cases (75%) show effective,4 cases (25%) effective, total effective rate for 100%;Post date effect:1 of 16 cases instance 2 weeks posts relapse after again expand treatment post and did not relapse, another have half a year inside of instance at treatment post-relapse to expand to treat the post, half a year to again relapse, through the diameter 4.0 cm air sacs expand four years did not relap. Conclusion: The air sac expand treat Achalasia to validate most effect, working than easily control, the safety, complications is little and relapse the low of rate, but the possession than many small experience and realize to deserve our summary, for the purpose of more perfect more mature.