内镜直视下气囊扩张治疗贲门失弛缓症  

Endoscopic Ballon Dilatation for Achalasia

作　　者：陈哲[1] 邹尤宝[1] 

机构地区：[1]广西钦州市第一人民医院消化科,广西钦州535000

出　　处：《科技通报》2005年第5期577-579,共3页Bulletin of Science and Technology

摘　　要：目的探讨内镜直视下气囊扩张治疗贲门失弛缓症的临床疗效。方法对32例贲门失弛缓症的患者在内镜直视下采用直径3.5 cm Rigiflex-ABD气囊导管,扩张压力10￣12 PSI,扩张2￣3次,术后定期随访,对症状改善、并发症等情况进行评价。结果所有患者在扩张后1个月、6个月、12个月、24个月进行症状分级,吞咽困难改善率分别为100%、93.75%、90.63%、81.25%。24个月中有6例症状复发而再次扩张后症状消失,未出现严重出血、穿孔等并发症。结论内镜直视下气囊扩张治疗贲门失弛缓症操作简单、疗效好、损伤小,并发症少,值得临床推广。Objective To evaluate the clinical efficacy of endoscopic balloon dilatation for patients with achalasia. Methods Thirty-two patients with achalasia were treated by balloon dilator using endoscope, with a diameter of 3.5 centimeter of Rigiflex-ABD, the expanded pressure was 10-12PSI, expanded twice or three times, followed up survey by the symptoms as well as the complications periodically. Results All of the patients treated by balloon dilator were divided by the symptoms after one month, six months, twelve months and twenty-four months, the rate of remission of dysphagia symptoms 100% at one month,93.75% at six months, 90.63% at twelve months,81.25% at twenty-four months. Six patients of them recurred and were treated by balloon dilator again, then the symptoms disappeared without complication of severe bleeding, perforation. Conclusions Endoscopic balloon dilatation for achalasia is an easy, effective and safe method, which should be applied broadly in clinic.

关 键 词：内镜直视 气囊扩张 贲门失弛缓症 

分 类 号：R573[医药卫生—消化系统]