带囊导管扩张术治疗贲门失驰缓症(附70例疗效分析)  

Cardiac Achalasia:Treatment with Catheter Balloon Dilatation

作　　者：张孟增[1,2] 刘沧君[1,2] 赵华卿 鲁北[1,2] 

机构地区：[1]河北省邢台市人民医院放射科 [2]河北邢台市拖拉机厂医院

出　　处：《实用放射学杂志》1998年第6期349-351,共3页Journal of Practical Radiology

摘　　要：目的：探讨带囊导管扩张术治疗贲门失驰缓症的临床效果；方法：用美国Ｒｉｇｉｆｌｅｘ型导管，对７０例贲门失驰缓症患者进行球囊扩张，压力１５～１８ｋＰａ，观察贲门扩张前后管径变化及临床疗效；结果：扩张后的临床疗效满意，总有效率达１００％，扩张后贲门管径明显增加，直径≥１３ｍｍ占５５例（７８．６％），８～１２ｍｍ占１０例（１４．３％），６～８ｍｍ占５例（７．１％）。结论：带囊导管扩张术治疗贲门失驰缓症是一种完全、有效的治疗方法。球囊压力，扩张持续时间与次数等因素影响疗效，而与狭窄程度关系不大。Objective:To investigate the clinical effect of treating cardiac achalasia with catheter balloon dilatation.Methods:70 patients with achalasia were treated with Rigiflex balloon.The balloon pressure was kept in 15-18 kPa.The changes of cardiac diameter and clinical therapeatic effect.Results:The tatal effective rate was 100%.The cardiac diameter was more than 13 mm in 55 patients ,8-12mm in 10 and 6-8 mm in 5 after balloon dilatation.Conclusion:Balloon dilatation is a method of safety and effect for treatment of achalasia.The effect of treatment is related to balloon pressure, duration and times of dilatation but the degree of stricture

关 键 词：贲门失驰缓症 带囊导管扩张术 疗效 

分 类 号：R656.61[医药卫生—外科学]