水囊扩张治疗在贲门失弛缓症中的应用(附38例病例分析)

BALLOON DILATOR TREATMENT OF ACHALASIA (REPORT OF 38 CASES)

1987年6月～1991年4月用水囊扩张治疗了贲门失弛缓症患者38例,25例显效,7例有效,总有效率84.2％。扩张效果与水囊直径有关,直径30、35 mm的好于12 mm的扩张管,用细管无效时,改用粗管可能有效。8例患者随访3月～2a,5例无复发,3例在治疗3～12月后轻度复发,但再行扩张治疗仍有效。本组无严重并发症。

Since Jun 1987 to April 1991, 38 patients with achalasia were treated with balloon dilator. Symptomsof dysphagia were improved in 32 of them. 25 of them were excellent (65.8％). 7 of them were good (18.4％). 6 cases were not improved (15.8％). The total effective rate was 84.2% (32/38). 31 cases of them were dilated by 30 mm and 35 mm balloon dilator. The total effective rate was 90.9％ (30/33). Seven cases of them were dilated by 12 mm dilator. The effective rate was 28.6％ (2/7). Two of them who were not improved with 12 mm dilator, were than treated with 35 mm dilator. The effect were excellent. The results indicated that effect of dilatation depends on diameter of balloon, using 30 mm and 35 mm dilator was better than using 12 mm one. In our series, serious complications did not occur. Eight cases were followed up for 3 months to 2 years. Five cases of them were free of dysphagia. 3 cases of them receured lightly after 3 to 12 months of the treatment, but the effect was still excellent affer repeating dilatations.