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目的 再次评价气囊扩张对良性消化性溃疡伴幽门梗阻的长期疗效。方法 患者先行内科保守治疗 ,保守治疗不成功再行内镜下气囊扩张术。幽门螺杆菌阳性均给予根除治疗 ,抗溃疡病药物治疗至少一个月。结果 74例幽门梗阻中有 4 3例内科保守治疗成功 ,另 31例行气囊扩张术 (最大直径 1 2～ 1 4 mm) ,平均扩张次数为 1 .6 8±0 .83次。在随访 2 1 .0 6± 1 3.1 3个月中 ,梗阻的复发率分别为 4 .6 5 %和 1 6 .1 3% (P>0 .0 5 ) ,两组均未见并发症。结论 幽门梗阻气囊扩张术是一种安全、有效的方法 ,最终用多大直径的球囊扩张以梗阻症状解除为准 ,对良性溃疡伴幽门梗阻 ,即使是瘢痕型梗阻首选球囊扩张 ,如扩张不满意者才考虑手术治疗。
Objective To evaluate the long-term effect of balloon dilatation on benign peptic ulcer with pyloric obstruction. Methods The patients were treated conservatively and conservatively. The endoscopic balloon dilation was unsuccessful. Helicobacter pylori positive were given eradication therapy, anti-ulcer drug treatment for at least one month. Results Forty-three cases of pyloric obstruction were treated conservatively and the other 31 cases underwent balloon dilatation (maximum diameter of 12 to 14 mm). The mean number of dilatation was 1.68 ± 0.83. The recurrence rates of obstruction were respectively 4.65% and 16.1% (P> 0.05) at the follow-up period of 21.06 ± 3.1.1 months. No complication was found in either group. Conclusions Pylorus obstruction balloon dilatation is a safe and effective method. In the end, how large diameter balloon dilatation is to relieve the symptoms of obstruction, benign ulcer with pyloric obstruction, even if the scar is the preferred balloon dilatation, such as dilation Satisfaction is considered surgery.