经内镜球囊扩张治疗贲门失弛缓症的临床效益  

Clinical efficacy of endoscopic pneumatic balloon dilatation in the treatment of achalasia

作　　者：张秋生[1] 崔惠敏[1] 彭侠彪[1] 阮巍山[1] 徐莉[1] 

机构地区：[1]中山市人民医院,广东中山528403

出　　处：《基层医学论坛》2009年第1期8-11,共4页The Medical Forum

摘　　要：目的探讨经内镜球囊扩张治疗AC的临床效益。方法共56例AC患者,36例经内镜球囊扩张治疗,20例手术治疗。术后1,3,6,9,12个月各随访1次,此后每年1次。对2组的疗效、临床和随访资料进行对比分析。结果扩张组术后随访(64.4±32.7)个月,手术组术后随访(74±26)个月。扩张组有效率、并发症发生率83.3%,13.9%与手术组的100%,15.0%相似(P>0.05);扩张组累积复发率25.0%高于手术组的0%(P<0.05);2组均无食管穿孔及死亡病例发生。每例次平均住院日和住院费,扩张组分别为7.5d和4661.8元,手术组为18.7d和12812.8元(P<0.05)。结论经内镜球囊扩张是AC安全有效、简便易行的治疗方法,住院时间和费用明显低于手术治疗。Objective Toinvestigate clinical efficacy of endoscopic pneumatic balloon dilation (PBD)in the treatment of achalasia(AC).Methods Of 56 patients with AC,36 cases received the treatment of PBD and 20 cases received esophageal sphincter myotomy operation(ESM).The patients were followed-up at 1,3,6,9and 12 months of post-procedure,and then followed-up one time every year.Recurrence of dysphagia after successful treatment was defined as relapse.The treatment outcomes of PBD and ESMwere compared and analyzed.Res...

关 键 词：贲门失弛缓症 内镜球囊扩张 手术治疗 

分 类 号：R571[医药卫生—消化系统]