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目的寻找贲门失弛缓症的最佳治疗方式。方法对比分析行球囊扩张和手术治疗的 39例贲门失弛缓症患者的临床疗效。 16例患者应用 Rigiflex扩张器行球囊扩张治疗 ,2 3例患者行 Heller手术治疗。结果 16例扩张术患者 1例发生扩张性穿孔 ,其余 15例食管体横径平均降低 (2 0± 6 .7) mm;贲门入口直径增宽 (2 .4± 0 .7) mm;下食管括约肌压力 (L ESP)降低 (1.9± 0 .6 ) k Pa;治疗后 Eckardt症状分的优良率为 93.3%。 2 3例手术患者食管体横径降低 (2 6± 0 .8) mm;贲门口直径增宽 (2 .9± 1.0 ) mm;LESP降低 (2 .5± 0 .5 )k Pa;术后 Eckardt症状分的优良率为 91.3%。结论两种贲门失弛缓症的治疗方式均有效 ,组间比较均无统计学差异 (P>0 .0 5 )
Objective To find the best treatment for achalasia. Methods The clinical efficacy of balloon dilation and surgical treatment in 39 patients with achalasia was analyzed. Sixteen patients underwent balloon dilatation with a Rigiflex dilator and 23 patients underwent heller surgery. Results In 16 cases of dilatation, one case had dilated perforation. The other 15 cases of esophageal body had an average reduction of transverse diameter of (20 ± 6. 7) mm. The diameter of cardia entrance was widened (2.4 ± 0.7 mm) The sphincter pressure (L ESP) decreased (1.9 ± 0.6) kPa; the excellent and good rate of Eckardt symptom after treatment was 93.3%. The diameter of the esophagus was reduced (26 ± 0.8 mm) in 2 of 3 surgeries, the diameter of the cardia was broadened (2.9 ± 1.0) mm, the LESP was decreased (2.5 ± 0.5) kPa, The excellent and good rate of Eckardt symptom score was 91.3%. Conclusion Both achalasia treatment methods are effective, there was no significant difference between the two groups (P> 0.05)