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目的 比较手术和气囊扩张治疗食管贲门失弛缓症的疗效。方法 对 ４８ 例患者（手术１８ 例，气囊扩张 ３０ 例）进行了一年以上的随访观察，通过对临床症状， Ｘ 线钡餐食管造影，胃镜检查和食管２４ 小时连续ｐ Ｈ 监测等进行比较分析。结果 手术和气囊扩张治疗食管贲门失弛缓症在以上几个方面差异均无显著性。结论 手术和气囊扩张均是治疗食管贲门失弛缓症安全有效的方法。而气囊扩张由于其方法简单，不必住院，费用较低等更适合我国国情。
Objective To compare the effects of surgery and balloon dilatation in the treatment of esophageal and cardiac achalasia. Methods 48 patients (18 cases of surgery, balloon dilation of 30 cases) were followed up for more than a year, by clinical symptoms, X-ray barium esophageal angiography, endoscopy and esophageal 24-hour continuous p H monitoring were compared. Results Surgery and balloon dilation in the treatment of esophageal achalasia in the above aspects were no significant differences. Conclusion Surgery and balloon dilation are both safe and effective for the treatment of achalasia of esophagus. The expansion of the balloon due to its simple method, do not have to hospital, lower cost and more suitable for our national conditions.