三腔二囊管辅助经胸食管肌层切开术治疗贲门失弛缓症  

Treatment of achalasia of cardia by transthoracic heller myotomy with tricavity biocapsule tube

作　　者：张位星[1] 王保祥[1] 陈胜喜[1] 罗万俊[1] 蒋海河[1] 龙隆[1] 张春芳[1] 

机构地区：[1]中南大学湘雅医院心胸外科,湖南长沙410008

出　　处：《中国现代医学杂志》2005年第16期2517-2518,共2页China Journal of Modern Medicine

摘　　要：目的总结三腔二囊管辅助经胸食管肌层切开术治疗贲门失弛缓症90例的临床经验。方法90例贲门失弛缓症患者接受食管肌层切开术,均在全麻气管插管下经左第7肋床作8￣10cm切口进胸,利用术前插的三腔二囊管充气辅助游离肌层,注水检查黏膜有无损伤,全组均未作抗反流手术。结果全部病例无死亡,术后平均住院9d,1例术中损伤黏膜于术中修补,未发生食管瘘等并发症,术后吞咽困难消失,无胃食管反流症状,随访3个月无复发。结论三腔二囊管辅助经胸食管肌层切开术治疗贲门失弛缓症,疗效满意,并发症少。[Objective] To review the clinical experience of transthoracic heller myotomy for treatment of achalasia of cardia with tricavity biocapsule tube. [Methods] Ninety patients with achalasia of cardia underwent transthoracic heller myotomy without concomitant anti-reflux procedure with tricavity bioeapsule tube. A left thoracotomy that the length was 8-10 cm was carried out through the seventh costals. [Results] There was no hospital death and severe postoperative complications, mean hospital staying time was 9 days, there was one intraoperative perforation and repaired successfully. There was no dysphagia and no symptom of gastroesophageal reflux after surgery. [Conclusions] Transthoracic heller myotony with tricavity biocapsule tube is effective and safe method for treatment of achalasia of cardia.

关 键 词：贲门失弛缓症 肌层切开术 三腔二囊管 

分 类 号：R571[医药卫生—消化系统]