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目的 :探讨Boston大直径专用贲门扩张球囊治疗贲门失弛缓症的方法及其疗效。方法 :在电视透视监视下 ,经口腔途径置入超滑导丝和Wilson Cook公司的食管通条预扩张 ,将Boston专用贲门扩张球囊送至贲门狭窄部 ,采用“逐级膨胀 ,突然减压”法进行扩张。球囊达最大直径时 ,反复 3～ 5次 ,最多者达 8次。结果 :食管通条及球囊放置成功率 10 0 % ,所有病例一次性置管扩张成功 ,2例食管破裂 ,经保守治疗治愈。术后随访 1～ 38月 ,无 1例复发 ,吞咽困难缓解率 10 0 %。 15 2例进食感觉完全正常。结论 :采用Boston大直径专用贲门扩张球囊 ,施用“逐级膨胀 ,突然减压”充盈球囊治疗贲门失弛缓症是简单而有效的方法 ,可以替代外科手术治疗
Objective: To explore the method and its curative effect of Boston large diameter special cardia dilatation balloon in the treatment of achalasia. Methods: Under the supervision of television fluoroscopy, the ultra-slip guidewire and Wilson Cook’s esophageal catheter were pre-dilated via the oral route. The special cardia dilatation balloon of Boston was delivered to the cardia stenosis by “step-by-step expansion and sudden decompression Law to expand. Balloon up to the maximum diameter, repeated 3 to 5 times, up to 8 times. Results: The success rate of esophageal access and balloon placement was 100%. All patients underwent one-time catheterization and dilatation successfully. Two cases of esophageal rupture were cured by conservative treatment. All patients were followed up for 1 ~ 38 months. No recurrence was found and the rate of dysphagia was 100%. 15 2 cases of eating feeling completely normal. CONCLUSIONS: The use of Boston large diameter dedicated cardia dilatation balloon, the application of ”progressive expansion, sudden decompression" filling the balloon treatment of achalasia is a simple and effective method that can replace surgical treatment