内镜直视下气囊扩张治疗贲门失弛缓症40例临床分析

Endoscopic direct air sac dilation therapy for achalsia: clinical analysis of 40 cases

目的探讨气囊扩张治疗贲门失弛缓症的疗效及意义。方法纳入采用气囊扩张治疗的贲门失弛缓症患者,对其扩张后随访2～13个月,详细询问病史,了解吞咽梗阻的改善情况。结果40例患者,5例失访,1次扩张有效率为77.4%,2次扩张有效率为94.3%,症状改善Ⅰ级、Ⅱ级、痊愈者分别为20.0%、17.1%和60.0%。1例效果差,总体有效率97.1%。结论气囊扩张是治疗贲门失弛缓症的有效方法。

ObjectiveTo evaluate the treatment effects of endoscopic direct air sac dilation for achalasia.Moth-od40 cases of achalasia were treated by endoscopic direct air sac dilation and followed up 2 to 13 months as well as their illness history, the relief of dysphagia systems were evaluated.ResultsFive cases failed to be followed up in 40 patients with achalasia, and the rate of efficacy by one time is 77.4% and the rate of efficacy by two times is 94.7%; the rate of remission of dysphagia symptoms is 20.0% with one grade, 17.1% with two grades and 60.0% with recovery, and one case had a poor therapy effectiveness and most of the cases（97.1%） were significantly relieved after the treatment.ConclusionEndoscopic direct air sac dilation is effective in treating achalasia.