球囊扩张治疗贲门失弛缓症55例食管动力变化分析

• 作 者: 唐红娟 王冰 王洪达 陶兴慧
• 机 构: 辽宁省抚顺矿务局总医院,
• 出 处: 中国误诊学杂志
• 发表日期: 2010年30期
• 关键词: 食管失弛症/外科学 胃底/外科学 气囊扩张术 人类

目的探讨内镜下球囊扩张治疗贲门失弛缓症前后的食管动力变化。方法应用球囊扩张器对55例确诊为贲门失弛缓症的患者进行扩张治疗,并进行治疗前后食管压力测定。结果治疗后食管下括约肌压力及食管下括约肌松弛压明显降低(P<0.01),食管下括约肌松弛率明显升高(P<0.01),食管下括约肌长度差异无统计学意义(P>0.05)。结论球囊扩张治疗贲门失弛缓症疗效较好,食管测压是检查食管动力的最敏感指标。

Objective To investigate the changes of esophageal motility before and after the treatment of achalasia by endoscopic balloon dilatation. Methods Fifty-five patients diagnosed as achalasia were treated with balloon dilatation. The esophageal pressure was measured before and after treatment. Results After treatment, the pressure of esophageal sphincter and the pressure of lower esophageal sphincter were significantly decreased (P <0.01). The relaxation rate of lower esophageal sphincter was significantly increased (P <0.01). There was no significant difference in the length of esophageal sphincter between the two groups (P> 0.05). Conclusions Balloon dilatation is effective in treatment of achalasia, and esophageal manometry is the most sensitive indicator of esophageal motility.