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目的 观察评价 2 1例贲门失弛缓症内镜下气囊扩张治疗的疗效。方法 所有病例均在内镜下行气囊扩张术 ,根据症状轻重计分 ,分三组进行观察。结果 2 1例治疗后症状计分较治疗前明显减少 ,81% ( 17例 )症状基本缓解 ;其疗效与治疗前症状轻重有关系 ,症状严重 ( A)组治疗后症状改善好于症状较轻 ( B、C)组 ;追踪结果表明 :2 7.3 %患者扩张治疗后 6～ 12个月复发。结论 内镜下气囊扩张术具有简便、安全和有效等优点 ,应作为贲门失弛缓症的首选治疗方法。
Objective To observe and evaluate the efficacy of endoscopic balloon dilatation in 21 patients with achalasia. Methods All patients underwent endoscopic balloon dilatation. The patients were divided into three groups according to the severity of symptoms. Results Symptom scores decreased significantly after treatment in 81 cases and 81% (17 cases) were relieved. The curative effect was related to the severity of symptoms before treatment (A), and the symptom improvement was better in group A than in treatment (Group B, C). The follow-up results showed that 2 7.3% of patients relapsed 6 to 12 months after dilation. Conclusions Endoscopic balloon dilation is simple, safe and effective. It should be the first choice of treatment for achalasia.