内镜直视下气囊扩张术治疗贲门失弛缓症的疗效评估

The evaluation of endoscopic direct balloon dilatation therapy for achalasia

目的:观察评价贲门失弛缓症的内镜直视下气囊扩张术的疗效。方法:本研究选择23例贲门失弛缓症并经过内镜下气囊扩张术治疗的患者,术后6个月、1年、2年定期随访。详细询问病史,并经内镜和钡餐检查对原有的吞咽困难等症状缓解程度进行评估。结果:23例患者吞咽困难症状均有显著改善。1次扩张有效率达86.9%(20/23),2次有效率可达100%。术中可见贲门黏膜撕裂、渗血,占73.9%(17/23),但未见致命性大出血及穿孔等并发症。结论:内镜下气囊扩张术治疗贲门失弛缓症可获得良好的近期和远期疗效,具有安全、简便的特点,是治疗贲门失弛缓症的首选方法。

Objective To evaluate the therapy efficacy of endoscopic direct balloon dilatation for achalasia. Method 23 patients with achalasia were treated by endoscopic direct balloon dilatation under endoscope and surveyed after 6 months ,1 year ,2 years periodically by endoscope and esophageal barium radiography as well as their illness history, the relief of dysphagia systems were evaluated. Results Dysphagia systems were relieved significantly in most patients. The rate of efficacy by one time is 86.9%(20/23), the rate of efficacy by two times is 100%. Cardiac orifice mucosal laceration and oozing of blood were 73.9%(17/23), but without perforation and massive hemorrhage. Conclusion Endoscopic direct balloon dilatation for achalasia can get a satisfied therapy efficacy not only in short term but also in long term, it has the advantage of safety and convenience, it is the first choice for the treatment of achalasia.