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目的评价内镜球囊扩张术治疗贲门失弛缓症的疗效。方法经内镜球囊扩张治疗贲门失弛缓症患者85例,术后定期观察病情缓解情况及并发症等。结果85例患者行扩张治疗2周后,除4例患者因进食梗阻再次进行扩张外,余81例患者逐一随访临床分级均为0级,患者吞咽困难、呕吐等症状全部消失,治疗有效率为95.3%。扩张2月~1年后复查,又有5例又出现吞咽困难,临床分级为Ⅰ级,余病例均无复发,临床分级为0级,治疗有效率为89.4%。结论球囊扩张术简单易行,安全可靠,创伤小,并发症少,值得在临床推广应用。
Objective To evaluate the efficacy of endoscopic balloon dilation in the treatment of achalasia. Methods Eighty-five patients with achalasia underwent endocardial balloon dilatation. The patients were followed up for the treatment of complications and complications. Results In 85 patients who underwent dilatation therapy for 2 weeks, except for 4 patients who dilated again due to eating obstruction, the remaining 81 patients were followed up for grade 0 in clinical grade. Difficulty swallowing and vomiting disappeared in 85 patients. The effective rate was 95.3%. Expansion of 2 months to 1 year after the review, and 5 cases of swallowing difficulties again, the clinical grade Ⅰ grade, no recurrence of other cases, the clinical grade 0, the effective rate was 89.4%. Conclusion balloon dilatation is simple, safe, reliable, less trauma, less complications, it is worth popularizing and clinical application.