食管肌层切开术加球囊扩张术治疗贲门失弛症  

TREATMENT OF CARDIOSPASM WITH ESOPHAGOCARDIOMYOTOMY AND BALLOON DILATION

作　　者：任化云 魏景荷 张耀亮[1] 王金胜[1] 刘学廉 

机构地区：[1]河北省黄骅市人民医院胸外科

出　　处：《中国煤炭工业医学杂志》2002年第3期213-214,共2页Chinese Journal of Coal Industry Medicine

摘　　要：目的　探讨治疗贲门失弛症的新方法。方法　在行食管肌层切开术 (Heller术 )切开狭窄段食管肌层后 ,使用三腔胃管扩张狭窄段食管 ,使其肌层与粘膜层分离 ,粘膜膨出。结果　 33例患者在短时间内按手术标准要求完成手术 ,成功率 1 0 0 % ,术后复发率低。结论　实施食管肌层切开术的同时 ,配合使用球囊扩张技术 ,有利于食管狭窄段肌层与粘膜层快速分离 ,与传统的食管肌层切开术对照 ,有缩短手术时间、肌层离断完全、粘膜膨出充分、粘膜层不易损伤、复发机会少等优点 ,提高了手术和愈后效果 ,有一定的临床推广价值。Objective To explore a new method for the treatment of cardiospasm. Methods Esophagocardiomyotomy was performed to cut open the narrow part of the esophagus before Sengsteken-Blakemore tube was used to separate tunica muscle from tunica mucosa which was then expanded. Results 33 patients received the operation with 100% success rate and low relapse rate. Conclusion Compared with the traditional operation method, this new method has several advantages: It can shorten the operation time; it makes the complete incision of tunica muscle and full expansion of tunica mucosa with no injury; and the relapse rate is lowered.

关 键 词：食管肌层切开术 贲门失弛症 三腔胃管 球囊扩张术 

分 类 号：R573.7[医药卫生—消化系统] R656.61[医药卫生—内科学]