Heller改良手术治疗贲门失弛症50例临床观察

Analysis on 50 cases with achalasia of the cardia treated by Heller improved operation

目的：探讨Heller改良术在贲门失弛症治疗中的效果。方法：50例贲门失弛症患者中,男17例,女33例;年龄2~73岁,平均30.7岁。采用Heller改良术治疗。气管插管静脉复合麻醉。结果：50例患者手术顺利,无1例食管破裂,康复率为99.60%。未出现胸腔积液。结论：Heller改良术治疗贲门失弛症操作简单、不良反应小、患者满意度高,效果优于传统手术,是一种值得推荐的术式。

Objective To explore the effect of Heller improved operation in the treatement of achalasia of the cardia.Method Total 50 patients with achalasia of the cardia,17 males,33 females,average age of 30.7 years（2~73 years）.Heller improved operation and intravenous anesthesia with tracheal intubation were used.Results For 50 cases′ operations were success and none of them appeared esophageal rupture,the recovery rate was 99.60% and without pleural effusion.Conclusion Heller improved operation is a simplified method for achalasia of the cardia with fewer side effects and higher satisfactory rate.It is effective than conventional surgery.So this is a recommended surgical method of operation.