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目的观察经内镜气囊扩张治疗贲门失弛缓的疗效与并发症的预防。方法应用贲门失弛缓扩张器在内镜直视下对36例贲门失弛缓症进行扩张治疗。结果贲门立即较术前明显增大,内镜可无任何阻力顺利通过,20 h后吞咽困难完全消失,显效32例,有效2例,2例穿孔,总有效率94%。结论内镜下气囊扩张治疗贲门失弛缓症近期效果确切,费用低,可重复性好,是一种理想的非手术方法,可作为首选治疗方法。
Objective To observe the efficacy and complications of endoscopic balloon dilation in the treatment of achalasia. Methods A total of 36 cases of achalasia were treated with dilatation of cardiac achalasia under endoscopy. Results Cardia immediately increased compared with preoperative, endoscopic successfully without any resistance, dysphagia disappeared completely after 20 h, markedly effective in 32 cases, effective in 2 cases, 2 cases of perforation, the total efficiency of 94%. Conclusions Endoscopic balloon dilatation for the treatment of achalasia has definite effect, low cost and good reproducibility. It is an ideal non-surgical method and can be used as the preferred method of treatment.