72例贲门失驰缓症的气囊导管扩张治疗  

Treat Achalsia by Using the Balloon Catheter——72 Cases

作　　者：王银国[1] 黄美浓 李燕梅[1] 

机构地区：[1]广东省深圳市坪山新区坑梓人民医院放射科,广东深圳518122

出　　处：《罕少疾病杂志》2011年第5期32-34,37,共4页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨采用直径为3.0 cm气囊导管扩张治疗贲门失驰缓症的疗效和价值。方法对72例确诊为贲门失驰缓症患者行气囊导管扩张,术后定期随访,观察患者临床症状缓解情况。结果 72例经治疗后68例患者吞咽困难症状得到缓解,近期疗效为95%。术后随访3～36个月,有9例复发。其中发生在治疗后3个月4例,6个月4例,18个月1例,远期疗效82%。未有患者发生大量出血及穿孔。结论利用直径为3.0 cm气囊扩张治疗贲门失驰缓症是比较安全的方法,近期疗效满意。Objective To investigate the efficacy and value of using the balloon catheter with a diameter of 3.0 cm to treat Achalasia.Methods 72 patients diagnosed with Achalasia were performed with the balloon catheter treatment,regular follow-up was carried out after surgery,and observations were made to evaluate the degree of the relief of the clinical symptoms for each patient.Results Of all 72 cases,68 patients showed a relief of the dysphagia symptoms after the treatment,researched a short-term efficacy of 95%.All patients were followed up from 3 to 36 months and 9 of them suffered a relapse.Among these 9 patients,the relapse of 4 cases occurred at 3 months after treatment,4 cases after 6 months,and 1 case after 18 month,which showed a long-term efficacy of 82%.None of the cases displayed post-operation hemorrhage and perforation.Conclusion To treat Achalasia by using the balloon catheter with a diameter of 3.0 cm is relatively safe and the short-term efficacy is satisfactory.

关 键 词：贲门失驰缓症 气囊导管扩张 治疗 

分 类 号：R573.7[医药卫生—消化系统]