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目的 :探讨内镜直视下球囊扩张治疗贲门失弛缓症的疗效。方法 :内镜直视下应用食管球囊扩张器对失弛缓贲门进行扩张 ,术后定期随访 ,经内镜和上消化道钡餐检查 ,对症状缓解或复发与否进行评价。结果 :38例中重度贲门失弛缓症状消失 ,经 1～ 3次扩张治疗 ,吞咽困难症状消失 ,缓解率依次为 42 .1 1 % (1 6/38)、90 .91 % (2 0 /2 2 )、1 0 0 .0 0 % (2 /2 )。有贲门粘膜撕裂、渗血者 76 .32 % (2 9/38) ,但无大出血及穿孔等并发症。每 0 .5、1、2、3年各随访一次 ,平均 1 .8年 ,复发率依次 5 .2 6 % (2 /38)、1 0 .53 % (4/38)、1 5 .79% (6/38)、1 6 .67% (5/30 ) (P >0 .0 5)。 0 .5年内出现反酸 ,烧心者为 31 .58% (1 2 /38) ,经内镜诊断为轻度反流性食管炎2 1 .0 5 % (8/38) ,以后随访中未发现。结论 :内镜直视下球囊扩张治疗贲门失弛缓症近期疗效肯定 ,远期疗效满意 ,是一种比较安全的治疗方法
Objective: To investigate the effect of balloon dilatation in the treatment of achalasia under endoscopy. Methods: The esophageal balloon dilator under endoscopy was used to expand the ametropic cardia. Regular postoperative follow-up was performed. Endoscopy and upper digestive tract barium meal examination were performed to evaluate the remission or recurrence of symptoms. Results: The symptoms of moderate and severe cardia achalasia disappeared in 38 cases. The symptoms of dysphagia disappeared after one to three dilations, the rates of remission were 42.1% (16/38) and 90.91% (20/22 2), 100% (2/2). Cardiac mucosal tear, bleeding 76.32% (29/38), but no bleeding and perforation and other complications. The patients were followed up every 0.5, 1, 2 and 3 years with an average of 1.8 years. The recurrence rate was 5.26% (2/38), 10.53% (4/38) and 15.79 % (6/38), 16.6% (5/30) (P> 0.05). 0.5 years, acid reflux, heartburn were 31.58% (12/38), endoscopic diagnosis of mild reflux esophagitis 21.5% (8/38), after the follow-up Find. Conclusion: Endoscopic direct balloon dilatation of achalasia treatment of achalasia certain positive effect, long-term effect is satisfactory, is a safer treatment