胃镜直视下球囊扩张治疗贲门失迟缓42例分析  

Endoscopic Balloon Dilatation for Achalasia:a Retrospective Analysis of 42 Patients

作　　者：穆振斌[1] 郭晓钟[1] 邵晓冬[1] 李宏宇[1] 崔忠敏[1] 王迪[1] 刘峰[1] 弭延斌[1] 任丽楠[1] 赵佳钧[1] 

机构地区：[1]沈阳军区总医院消化内科,110016

出　　处：《中国消化内镜》2008年第7期1-4,共4页Digestive Disease and Endoscopy

摘　　要：目的观察评价内镜直视下球囊扩张术治疗贲门失弛缓症的疗效和安全性。方法2000年4月至2008年4月在内镜直视下行气囊扩张术治疗贲门失弛缓症42例次,术后观察患者临床症状的缓解与复发,分析年龄,性别因素对患者复发及疗效的影响。结果42例次治疗后患者吞咽困难症状都得到有效缓解,大多数患者有贲门粘膜撕裂、擦伤和渗血,26.2%的患者术后出现反酸及烧心感,但未发生穿孔、呕血或黑便等严重并发症。结论内镜直视下球囊扩张术治疗贲门失弛缓症的疗效满意、安全。Objective： To evaluate the efficacy and safety of endoscopic balloon dilatation for Achalasia. Methods： Forty-two patients with achalasia have treated by WILSON-COOK balloon under endoscopic observation. We analyzed its results and factors associated with recurrence. Results： The dysphagia symptoms remitted in all of the 42 patients, and most of patients were found to have mucosal laceratins, abrasions and oozing of blood. 26.2% of patients have acid-reflux or heart bum symptoms. None of patients has complication of perforation, haematemesis and melena. Conclusions： Endoscopic balloon dilatation is an effective and safe treament for achslasia.

关 键 词：贲门失弛缓症 球囊扩张 内镜 

分 类 号：R725.737[医药卫生—儿科] R656[医药卫生—临床医学]