无X线内镜直窥下气囊扩张治疗贲门失弛缓症15例临床观察  

作　　者：蒋义贵[1] 张生君[1] 吴联晖[1] 

机构地区：[1]福建医科大学附属三明第一医院消化内科,365000

出　　处：《当代医学》2009年第32期5-6,共2页Contemporary Medicine

摘　　要：目的探讨无X线内镜下气囊扩张术治疗贲门失弛缓症的方法与疗效。方法内镜下气囊扩张术治疗15例贲门失弛缓症患者,观察其临床症状,复查胃镜及X线检查,以了解其疗效。结果15例患者吞咽困难缓解率100%,无穿孔等严重并发症发生;复查胃镜及X线检查均较扩张前明显改善,最长随诊1年,无1例复发。结论内镜下气囊扩张术治疗贲门失弛缓症因疗效确切、安全性高、操作简单,是贲门失弛缓症较为理想的首选和主要治疗方法。Objective To investigate the efficacy of andoscopic pneumatic dilation （EPD） in the treatment of achalasia of cardia （AC） without X-ray guidance.Methods A total of 15 AC patients with achalasiaof cardia were treated with endoscopicpneumatic dilation. Then the clinic symptomswere observed, and gastroscopy and X-ray examination were performed to evaluate the therapeuticefficacy.Results The remission rate for dysphagiawas 100%. No perforation or other serve complications occurred. The reexaminations of gastroscopyand X-ray indicated that the symptoms were improved obviously in comparison with those before EPD treatment. After following up for 1 years, no one recurred.Conclusion EPD is effective, safe and simple method for the treatment of AC with less suffering,and it is the ideal choice to treat AC.

关 键 词：贲门失弛缓症 内镜下气囊扩张术 

分 类 号：R571[医药卫生—消化系统]