胃镜下逐级气囊扩张治疗贲门失驰缓症29例临床分析

Progressive Balloon Dilatation Dnder Endoscope For Patients With Achalasia （29 cases report）

目的探讨胃镜下逐级气囊扩张治疗贲门失驰症的疗效和安全性。方法29例贲门失驰症患者行胃镜直视下逐级气囊扩张治疗，术后定期随访，观察患者临床症状缓解情况。结果扩张技术成功率100％，29例患者治疗后吞咽困难症状都得到缓解，未发生穿孔并发症。随访时间为一年。1个月时症状缓解率为100％，1年时为88．0％。结论胃镜直视下逐级气囊扩张治疗贲门失驰症具有安全性高、疗效确切、损伤小等优点，是贲门失驰症的理想和首选治疗方法。

Objective To evaluate the efficacy and safety of progressive balloon dilatation under endo- scope for achalasia. Methods 29 patients with achalasia were treated by progressive balloon dilatation under endoscopic vision, and their symptoms were investigated periodically. Results The excellent success rates of balloon dilation were 100%. The dysphagia symptoms remitted in all of the 29 patients and without complication of perforation. The following up ranged to 1 year. The rate of remission of dysphagia symptoms 100% at 1 month, 88.0% at 12 months. Conclusion Progressive balloon dilation under the endoscope for achalasia has the ade- vantage of high safety, certain therapeutic effect, tiny lesion and so on. It is the first and ideal choice for the treatment of achalasia.