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目的:观察气囊扩张术治疗食管贲门失弛缓症的疗效。方法:华西医大附一院收治的食管贲门失弛缓症病人105例,其中男性56例(53％),女性49例(47％),平均年龄34.2岁。主要临床症状为吞咽困难,食物反流,胸痛及体重减轻等。通过临床表现,X线钡餐可明确诊断。气囊经胃镜下导丝置人,压力5-10 PSI,维持30-60 s。间隔2-3min后再扩张共2-3次。结果:105例病人显效95例(90.3％),有效10例(9.6％),无效0例。术后无1例穿孔,其他并发症轻。复发后重复扩张仍有效,较肉毒杆菌毒素注射及Hellsr’s肌切开术有更多优越性。结论:气囊扩张术为治疗贲门失弛缓症的首选方法。
Objective: To observe the effect of balloon dilatation in the treatment of achalasia of esophagus and cardia. Methods: A total of 105 patients with achalasia of esophagus and cardia admitted to the First Affiliated Hospital of Huaxi Medical College were enrolled. Among them, 56 (53%) were males and 49 (47%) females, with an average age of 34.2 years. The main clinical symptoms are swallowing difficulties, food reflux, chest pain and weight loss. Through clinical manifestations, X-ray barium meal can be clearly diagnosed. The balloon was placed under endoscopy wire pressure 5-10 PSI, to maintain 30-60 s. 2-3min interval and then expanded a total of 2-3 times. Results: In 105 cases, 95 cases (90.3%) were markedly effective, 10 cases (9.6%) effective and 0 (ineffective). No postoperative perforation, other complications were mild. Recurrence after repeated expansion is still valid, compared with botulinum toxin injection and Hellsr’s muscle incision has more advantages. Conclusion: balloon dilatation is the preferred method of treatment of achalasia.