气囊扩张术治疗贲门失弛缓症的疗效评价及其胸痛特点

Achalasia and Chest Pain: Effect of Pneumatic Dilatation

目的研究胃镜直视下气囊扩张对贲门失弛缓症及其胸痛的治疗效果,并考察其胸痛症状与年龄、性别和病程等的关系。方法回顾10年间行气囊扩张术的64例病人,其中38例有胸痛症状。观察有胸痛症状和无胸痛症状病人在年龄、性别、病程和症状评分等方面的差异,并通过气囊扩张前后症状评分的方法研究其治疗胸痛症状的有效性。结果贲门失弛缓症有无胸痛者在年龄、性别、病程和症状评分等方面无显著性差异;气囊扩张术对胸痛的治愈率为80%,有效率为10%。结论胃镜直视下气囊扩张术能有效地治疗贲门失弛缓症病人的胸痛症状,可以作为贲门失弛缓症的有效治疗方法。

Objective To explore the clinical character of chest pain and the therapeutic efficacy of pneumatic dilatation. Methods A total of 64 patients with achalasia in 10 years were retrospectively studied. All of them were treated by pneumatic dilatation and 38 of them complained of chest pain. The differences in age, sex, duration of symptoms and score of symptom were compared in the patients with or without chest pain. The therapeutic efficacy of pneumatic dilatation was observed by the score of symptom. Results There was no relation between chest pain with age, sex, duration of symptoms and score of symptoms. Chest pain was recovered in 80% of the patients and improved in 10% of the patients after the operation of pneumatic dilatation. Conclusion The operation of pneumatic dilatation can effectively improve chest pain in patients with esophageal achalasia and can act as an effective means in the treatment.