论文部分内容阅读
目的观察内镜下气囊扩张治疗贲门失弛缓症疗效,探索贲门失弛缓症的非手术治疗方法。方法对内镜/钡餐诊断为贲门失弛缓症的18例患者,用直径3.0cm 气囊,内镜下气囊扩张治疗,疗效判断按 Stooler 分级法。以首次扩张治疗后3个月为近期疗效,3～6个月为远期疗效。结果近期疗效100%,远期疗效93%。治疗过程中,无贲门粘膜撕裂、食道大出血、穿孔等严重并发症发生。结论内镜下气囊扩张,安全可靠,创伤小,是贲门失弛缓症治疗首选方法。
Objective To observe the efficacy of endoscopic balloon dilation in the treatment of achalasia and explore the non-operative treatment of achalasia in the cardia. Methods Eighteen patients diagnosed as achalasia by endoscopy / barium meal were treated with balloon 3.0cm in diameter and balloon dilatation with endoscope. The curative effect was evaluated according to Stooler grading method. To the first expansion of treatment for 3 months after the short-term efficacy, 3 to 6 months for long-term efficacy. The results of the recent efficacy of 100%, long-term efficacy of 93%. During the treatment, no cardial mucosal tear, esophageal hemorrhage, perforation and other serious complications. Conclusion Endoscopic balloon dilation, safe and reliable, less trauma, is the preferred method of treatment of achalasia.