内镜直视下气囊扩张治疗贲门失弛缓症18例临床观察  

Clinical analysis of 18 cases of achalasia treated by endoscopy balloon dilation

作　　者：黄林[1] 邓树忠 

机构地区：[1]攀枝花市中心医院消化科,四川攀枝花617067

出　　处：《四川医学》2013年第7期977-979,共3页Sichuan Medical Journal

摘　　要：目的探讨内镜直视下对贲门失弛缓症患者行气囊扩张术的疗效及其安全性。方法应用Rigiflex扩张气囊在内镜直视下对18例贲门失弛缓症患者行气囊扩张,观察患者在治疗前、治疗后1、6和12个月的吞咽困难症状评分、食管宽度的变化、并发症。结果 18例患者行气囊扩张治疗后随访期间吞咽困难症状较前均明显改善,1、6、12个月后症状缓解有效率分别为100.0%,94.4%,94.4%;治疗后患者食管最狭窄处较治疗前明显增宽,食管最宽处较前明显缩小(P<0.05),治疗后患者并发胸痛、上消化道出血、反流、穿孔发生率分别为100.0%、5.6%、5.6%、0%。结论内镜直视下行气囊扩张术治疗贲门失弛缓症是简单、安全、有效的,值得推广。Objective To explore the therapeutic effect and safety of endscopic balloon dilation in treating achalasia.Methods A total of 18 patients were Regiflex dilator.The dysphagia symptom scores were recorded before and 1-month,6-month and 12-month after the procedure.The change in width of esophagus,procedure related complications were analyzed.Results Dysphagia symptom score was significantly decreased after the treatment（P0.05）.The effective rates evaluated at 1-month,6-month and 12-month after the procedure were 100.0%,94.4%,94.4%,respectively.Procedure related complications in balloon dilatation induced chest pain,upper gastrointestinal bleeding,gastroesopheal reflux and esophageal perforation were 100.0%,5.6%,5.6%,0.respectively.Conclusion Endoscopic balloon dilation for treating achalasia is simple,safe and effect,which is first choice.

关 键 词：贲门失弛缓症 内窥镜 气囊扩张术 

分 类 号：R571[医药卫生—消化系统]