摘要
本文旨在评价内镜引导下气囊扩张对贲门失弛缓症的治疗价值。64例贲门失弛缓症病人接受气囊扩张治疗。扩张治疗前26人(40.6%)不能进某些固体食物,38人(59.3%)只能进半流质,1人(0.01%)只能进流质者。每周气囊扩张食管下段及贲门部一次,4次为一疗程。第一次气囊扩张治疗后,54人(84.4%)吞咽困难症状消失,第二次气囊扩后64人(100%)吞咽困难症状消失。本研究表明,内镜引导下气囊扩张法是治疗贲门失弛缓症的一种有效方法。
The aim of the study was to assess the value of endoscope-guided balloon dilatation in treatment of patients with achalasia of the cardia. The balloon dilatation was accomplished in 64 patients with achalasia of the cardia. Before the treatment, 26(40.6%) patients had a complaint unable to swallow certain solids, 38(59.3%) patients complained of swallowing only semifluid diet,and 1 (0.01%) intaking only liquid diet. Lower part of the esophagus and the cardia were dilated once a week, 4 sessions constituting a single therapeutic course. After the first dilatation, 54(84.4%) of 64 patients experienced no longer dysphagia; and after the second dilatation, 64 (100%) patients had no dysphagia. It is concluded that the balloon dilatation is an effective method for treating achalasia of cardia.