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食管失弛缓症是一种大家都比较熟悉的食管良性疾患,手术仍然是主要治疗方法之一,本文旨在研究食管肌层切开木后的远期疗效。选择1973.1～1987.7期间,由同一手术组进行手术并且术后随访达一年以上的100例作为分析对象,其中男d9例,女51例,平均年龄42岁。所有病例均有典型的吞咽困难症状,病程平均6年;73例伴有体重减轻,平均下降5公斤。术后2～3月作GI检查,特别注意测定食管胃连接部(相当于食管下端括约肌的部位)的最大内径以及胸段中1/3食管的最大内径,其中有62例术后随访复查达3～7年。术前根据X片上胸段食管的内径将本病分为以下几级:Ⅰ级,内径小于4cm,15例;Ⅱ级,4.1～6.0cm,63例;Ⅲ级,大于6.1cm,22例。术前常规作内窥镜
Esophageal achalasia is a well-known benign esophageal disease, surgery is still one of the main treatment methods, this paper aims to study the long-term efficacy of esophageal muscle layer after cutting wood. During the period from 1973.1 to 1987.7, 100 patients who underwent operation in the same operation group and who were followed up for more than one year were selected as the analysis objects, including 9 males and 51 females, with an average age of 42 years. All cases have typical symptoms of dysphagia, the average duration of 6 years; 73 cases associated with weight loss, with an average decline of 5 kg. Two to three months after surgery for GI examination, with particular attention to the determination of the esophagogastric junction (equivalent to the lower esophageal sphincter) and the thoracic middle 1/3 of the esophagus, the largest diameter, of which 62 were followed up for review 3 to 7 years. Preoperative based on the X-ray thoracic esophageal diameter of the disease will be divided into the following stages: Ⅰ grade, diameter less than 4cm, 15 cases; Ⅱ grade, 4.1 ~ 6.0cm, 63 cases; Ⅲ grade, greater than 6.1cm, 22 cases. Preoperative routine for endoscopy