无X线内镜下气囊扩张治疗贲门失弛缓症的研究

Study on Endoscopic Pneumatic Dilation for Achalasia without X-ray Guidance

目的探讨无X线内镜下气囊扩张治疗贲门失弛缓症的疗效和安全性。方法105例贲门失弛缓症患者在无X线引导下行内镜直视气囊扩张治疗,术后定期随访观察其临床症状,复查胃镜或X线检查,以评价疗效。结果105例患者均一次扩张成功,症状缓解率达100%,无穿孔、大出血等严重并发症发生;复查胃镜及X线食管钡造影均较术前明显改善,随访3个月至15年(平均5年),仅1例复发,复发率仅0.95%(1/105)。结论无X线引导下内镜直视气囊扩张治疗AC具有安全性高、疗效确切、损伤小等优点,是贲门失弛缓症的理想和首选治疗方法。

Objective:To explore the efficacy and safety of endoscopic pneumatic dilation for achalasia without X-ray guidance. Method:105 patients with achalasia underwent pneumatic dilatation under endoscopic vision without X-ray guidance. In order to evaluate the therapeutic effect after dilatation, all the cases were followed up periodically by gastroscope, X-ray and the clinical symptoms. Results:All the 105 patients were successfully dilated only once, the symptomatic remission rate reached to 100%, without perfo...