论文部分内容阅读
目的探讨数字化胃肠动态采集技术、定时吞钡检查(timed barium esophagram,TBE)在贲门失弛缓症(esophageal achalasia,EA)的诊断、治疗疗效评价及治疗后随访中的应用价值。方法观察EA患者60例,行内镜下球囊扩张或外科腹腔镜Heller手术治疗,观察治疗前、治疗后1个月、治疗后1年症状评分及吞钡检查后1,5min存钡高度、存钡宽度变化,动态采集技术测量最大贲门扩张宽度。结果 1EA治疗后1个月、治疗后1年症状评分、TBE结果均较治疗前明显好转(P<0.05),2Spearman相关分析显示,EA患者症状积分的改善与最大贲门宽度、存钡高度1,5min有显著相关(P<0.05)。结论 1TBE可作为评价EA病情严重程度的客观指标,2TBE可作为EA短期及长期疗效评价的客观指标。
Objective To investigate the application of digital gastrointestinal dynamic acquisition technique and timed barium esophagram (TBE) in the diagnosis and treatment of achalasia achalasia (EA) and the follow-up after treatment. Methods Sixty patients with EA were observed under endoscopic balloon dilatation or surgical laparoscopic Heller operation. The scores of symptoms before treatment, one month after treatment, one year after treatment and the barium height at 1,5 min after barium swallowed were observed. Changes in barium storage width, dynamic acquisition technique to measure the maximum cardiac expansion width. Results One month after 1EA treatment, the symptom score and TBE 1 year after treatment were significantly improved compared with those before treatment (P <0.05). 2Spearman correlation analysis showed that the symptom scores of EA patients were improved with the maximum cardia width, barium storage 1, 5min was significantly correlated (P <0.05). Conclusions 1TBE can be used as an objective index to evaluate the severity of EA and 2TBE can be used as an objective indicator of short-term and long-term efficacy of EA.