内镜下气囊扩张治疗贲门失弛缓症临床应用研究  

Clinical application of balloon dilatation in the treatment of achalasin of cardia under gastroscope

作　　者：史学森[1] 张永立[1] 祁淑华[1] 李晓兰[1] 马春玉[1] 王丽娟[1] 徐秀芝[1] 

机构地区：[1]包头市第四医院消化内科,内蒙古包头014030

出　　处：《内蒙古医学杂志》2001年第2期97-99,共3页Inner Mongolia Medical Journal

基　　金：包头市科委基金!项目 ( 2 0 0 0 60 )

摘　　要：目的 :探讨贲门失弛缓症患者食管动力学及气囊扩张的疗效。方法 :在内镜及X线监视下 ,用OTW气囊对 1 6例患者进行扩张 ,压力为 80～ 1 5 5kPa,维持 30s～1min ,反复 3～ 5次。对 7例患者在扩张前后使用瑞典产C—TD、PCPolyral压力测定仪作了下食管括约肌 (LES)压力、上食管括约肌 (UES)压力检测。结果 :1 6例患者临床症状显著改善 ,可进半流食和普食。 7例患者治疗前LES压力 (7 4± 1 4)kPa,扩张治疗LES压力 (3 4± 0 5 2 )kPa ,扩张治疗后LES压力较治疗前明显下降 (P <0 0 1 )。结论 :贲门失弛缓症存在明显食管动力障碍 ,气囊扩张疗效显著 ,采用渐进式气囊扩张方法 ,可避免食管穿孔的发生。Objective:To study the esophageal dynamics and the curative effect of balloon dilatation in the treatment of achalasia of cordia.Methods:Balloon dilatation is used in the treatment of 16 patients under gastroscope and X-ray monitoring.The pressure of OTW balloon is 80 to 155kPa.The dilatation lasts 30 sec.to 1min,and is repeated 3 to 5 times.In 7 patients,the pressure of the lower esophageal sphincter(LES) and the upper esophageal sphincter(UES) is measured with a barometer(Model CID PC Polyral)made in Sweden before and after the treatment.Results:The symptoms of 16 patients have been improved remarkably.They can take semi-liquid food and ordi nary diet.In 7 patients,the pressure of the LES is(7.4±1.4kPa) before the treatment.After dilatat on,the pressure decreased to(3.4±0.52kPa),which lowered significantly,compared with that before the dilatation.Conclusion:In achlasia,there exists severe distubance of esophageal motility.Balloon dilatation has dramatic therapeutic effect on such a condition.Perforation of the esophagus can be avoid when moderate dilatation is conducted. [

关 键 词：贲门失驰缓症 食管动力 气囊扩张 内窥镜 

分 类 号：R573.7[医药卫生—消化系统]