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目的 :探讨贲门失弛缓症患者行气囊扩张治疗前后食管运动障碍的变化。方法 :对 18例贲门失弛缓症患者采用气囊扩张治疗 ,并于治疗前和治疗后 48小时及治疗后 1个月分别进行食管测压 ,观察下食管括约肌的长度 (L ESL )、静息压力 (L ESP)、松弛压 (L ESRP)、松弛率 (L ES-PR)及食管体部运动障碍的变化。结果 :18例贲门失弛缓症患者治疗后 L ESP,L ESRP均显著降低 (P<0 .0 0 1) ,L ES-PR较治疗前显著提高 (P<0 .0 0 1) ,L ESL 治疗前后无差异 ,食管体部运动障碍治疗前后改善不明显。结论 :采用气囊扩张治疗贲门失弛缓症显效迅速 ,并能显著改善食管运动障碍
Objective: To investigate the changes of esophageal dyskinesia before and after balloon dilation in patients with achalasia. Methods: Eighteen patients with achalasia were treated with balloon dilatation. Esophageal manometry was performed before treatment, 48 hours after treatment and one month after treatment. The length of esophageal sphincter (L ESL), resting pressure (L ESP), relaxation pressure (L ESRP), relaxation rate (L ES-PR) and esophageal motility disorders. Results: The values of L ESP and L ESRP in 18 patients with achalasia decreased significantly (P <0.01), L ES-PR increased significantly (P0.01), L ESL No difference before and after treatment, esophageal motility disorders before and after treatment did not improve significantly. Conclusion: The treatment of achalasia with balloon dilatation is effective and can significantly improve esophageal motility disorders