内镜下球囊扩张治疗良性胃输出端梗阻的临床价值  

Value of Endoscopic Balloon Dilatation for Treatment of Benign Gastric Outlet Obstruction

作　　者：刘德良[1] 霍继荣[1] 吴小平[1] 卢放根[1] 周伏喜[1] 周芝元[1] 

机构地区：[1]中南大学湘雅二医院消化内科,湖南长沙410011

出　　处：《医学临床研究》2006年第7期1049-1051,共3页Journal of Clinical Research

摘　　要：【目的】探讨经内镜球囊扩张治疗溃疡病胃输出端良性梗阻的疗效和安全性。【方法】对23例良性胃输出端梗阻患者采用气囊扩张治疗,术后对溃疡病HP阳性者进行HP根治,用内镜、钡剂造影定期随访并观察梗阻症状。【结果】患者的近期症状缓解率为91.3%,治疗后狭窄口平均直径由(5.1±2.6)mm增加到(15.2±1.2)mm(P<0.01),所有患者HP均被根除。主要并发症为黑便(8.7%)与呕血(4.3%)。术后随访0.5、1、2年的梗阻症状缓解率依次为82.6%、81.3%、76.9%,而梗阻症状复发率依次为17.4%、18.7%、23.1%。【结论】经内镜球囊扩张是治疗良性胃输出端梗阻的安全而有效的方法。[Objective]To evaluate the efficacy and safety of endoscopic balloon dilatation for treatment of benign gastric outlet obstruction. [Methods]Balloon dilatation under endoscopy was performed in 23 patients with benign gastric outlet obstruction, and peptic ulcer patients with Helicobacter pylori（HP） infection were treated by eradication of HP after balloon dilatation. All patients were followed up for their symptoms and regularly examined through endoscopy and barium radiography. [Results]The obstructive symptoms in short term completely relieved in 21 of 23 patients（91.3%）. The mean diameter of the stenoses was ;increased significantly from （5.15.1±2.6） mm to （15.2± 1.2） mm after the therapy（ P 〈0. 001）. HP infection in all patients were eradicated successfully. The main complications were melena （8. 7%） and hematemesis （4. 3 %）. After following up in 6 months, 1 year and 2 years, the remission rates of obstruction symptoms were 82.6%, 81.3% and 76.9% and the rates of recurrence of symptoms were 17.4% ,18. 7% and 23.1% respectively. [Conclusion]Endoscopic balloon dilatation for treatment of benign gastric outlet obstruction is an effective and safe method .

关 键 词：幽门狭窄/治疗 气囊扩张术 内窥镜栓查 消化系统 

分 类 号：R573.6[医药卫生—消化系统]