内镜下球囊扩张术治疗贲门失弛缓症的近期与远期疗效观察  

Short-term and Long-term Efficacy of Endoscopic Balloon Dilation in the Treatment of Achalasia

作　　者：陈广建 CHEN Guangjian(Yuedong Hospital,the Third Affiliated Hospital of Sun Yat-sen University,Meizhou,Guangdong 514700)

机构地区：[1]中山大学附属第三医院粤东医院,广东梅州514700

出　　处：《智慧健康》2022年第28期145-148,共4页Smart Healthcare

基　　金：梅州市科技计划项目《胃镜直视下水囊扩张治疗贲门失迟缓症的临床研究》(项目编号:2018B123)

摘　　要：目的 观察内镜下球囊扩张术治疗贲门失弛缓症的近期与远期疗效分析。方法 将中山大学附属第三医院粤东医院2010年1~11月收治的以贲门失弛缓症为诊断的患者总计40例作为研究对象,根据治疗方案分组,其中8例接受内镜下球囊扩张术治疗为研究组,另32例接受保守治疗为对照组,治疗后随访1年。比较症状积分,近期、远期疗效。结果 治疗后两组患者的症状积分明显下降,且观察组各指标明显低于对照组(P<0.05)。治疗组近期疗效的显效率高于对照组(P<0.05)。随访1年治疗组的Eckardt评分及食管下括约肌压力均低于对照组(P<0.05)。结论 在贲门失弛缓症患者中,以内镜下球囊扩张术治疗,可改善症状,获得较好近、远期疗效。Objective To observe the short-term and long-term efficacy of endoscopic balloon dilation in the treatment of achalasia. Methods A total of 40 patients with achalasia diagnosed in our hospital(January to November 2020) were divided into groups according to the selected treatment scheme, of whom 8 patients received endoscopic balloon dilatation as the study group and 32 patients received conservative treatment as the control group. They were followed up for 1 year after treatment.The symptom scores and short-term and long-term effects were compared. Results After treatment,the symptom scores of the two groups decreased significantly, and the indexes of the observation group were significantly lower than those of the control group(P<0.05). The short-term effective rate of the treatment group was higher than that of the control group(P<0.05). The Eckardt score and lower esophageal sphincter pressure in the treatment group were lower than those in the control group(P<0.05). Conclusion Endoscopic balloon dilatation can improve symptoms and obtain good short-term and long-term effects in patients with achalasia.

关 键 词：内镜下 球囊扩张术 贲门失弛缓症 近期疗效 远期疗效 

分 类 号：R571[医药卫生—消化系统]