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目的观察评价内镜直视下球囊扩张术治疗贲门失弛缓症的疗效和安全性。方法2000年4月至2008年4月在内镜直视下行气囊扩张术治疗贲门失弛缓症42例次,术后观察患者临床症状的缓解与复发,分析年龄,性别因素对患者复发及疗效的影响。结果42例次治疗后患者吞咽困难症状都得到有效缓解,大多数患者有贲门粘膜撕裂、擦伤和渗血,26.2%的患者术后出现反酸及烧心感,但未发生穿孔、呕血或黑便等严重并发症。结论内镜直视下球囊扩张术治疗贲门失弛缓症的疗效满意、安全。
Objective To evaluate the efficacy and safety of balloon dilation under endoscopy for the treatment of achalasia. Methods From April 2000 to April 2008, 42 cases of achalasia were treated with balloon dilation under endoscopy. The clinical symptoms and relapse were observed after operation. The relapse and efficacy of age and gender were analyzed influences. Results After the treatment of 42 cases, dysphagia symptoms were effectively relieved. Most cases had cardia mucosal tear, abrasion and oozing, and 26.2% patients had anti-acid and heartburn after operation, but no perforation, vomiting or Melanoma and other serious complications. Conclusion Endoscopic direct balloon dilatation in the treatment of achalasia is satisfactory and safe.