可回收防反流食管支架治疗贲门失弛缓症21例临床观察  

Treatment of cardia achalasia with recycled anti-reflux esophageal stents

作　　者：孔庆印[1] 姜开通[1] 曾宪忠[1] 

机构地区：[1]山东省临沂市人民医院,山东临沂276003

出　　处：《中国内镜杂志》2007年第9期940-942,945,共4页China Journal of Endoscopy

基　　金：2005年临沂市科技发展计划资助项目;项目编号:0508019

摘　　要：目的探讨可回收防反流食管支架治疗贲门失弛缓症的效果及安全性。方法21例患者随机分为两组:支架放置1个月组10例,2个月组11例;经胃镜安装可回收防反流食管支架,术后1个月、2个月回收支架;支架取出后第6、12、18个月随访临床症状改善情况,支架取出后1年食管X线复查并与术前比较。结果所有患者支架均成功置入,顺利取出,无严重并发症发生。随访6～18个月,两组患者咽下困难缓解率均达100%,两组之间的中远期临床疗效差异无显著性(P>0.05)。术后1年X线复查,支架置入1个月组食管直径由术前的(4.5±1.2)cm改善为(3.2±1.2)cm,支架置入2个月组食管直径由术前的(4.6±1.2)cm改善为(3.3±1.1)cm,两组术后1年食管直径与术前比较,差异均有极显著性(P<0.01)。结论可回收防反流食管支架治疗贲门失弛缓症具有操作简便、并发症少、回收方便、疗效确切等优点。[Objective] To observe the curable effect and safety of recycled anti-reflux esophageal stents on cardia achalasia. [Methods] Inserting recycled anti-reflux esophageal stents for 21 cases of achalasia, 21 cases were randomly divided into 2 groups： 10 cases in 1-month group and 11 in 2-month group; 1-2 months later, the stents were removed. We observed the symptoms in 6, 12, 18 months after stents were removed out. We also observe the x-ray presentation 12 months later and compared it with what showed before the stent were inserted. [Results] Stents were all easily inserted and smoothly removed. By 6-18 months of follow-up, the esophagus kept unobstructed. Long-term effect of two groups showed no significant difference, （P 〉0.05）. 1 year later X-ray showed diameters of esophageal were reduced [ （4.5±1.2） cm Vs （3.2±1.2） cm in group 1, and （4.6±1.2） cm Vs （3.3±1.1） cm in group 2] （P〈0.01）. [Conclusion] Recycled anti-reflux stents can be easily inserted under gastroscopy for cardia achalasia patients with few complications but long effect, also they can be recycled easily.

关 键 词：食管支架 食管贲门失弛缓症 胃镜 

分 类 号：R571.4[医药卫生—消化系统]