内镜与外科手术治疗贲门失弛缓症的临床对比分析

Comparative Analysis of Endoscopic Balloon Dilation and Surgical Therapy in the Treatment of Esophageal Achalasia

目的:对比分析内镜与外科手术治疗贲门失弛缓症的临床疗效。方法:选取我院收治的68例贲门失驰缓症患者,随机分成实验组与对照组,每组34例。实验组接受内镜下球囊扩张治疗,对照组接受外科手术治疗,对比分析两组患者的临床疗效。结果:治疗后两组的食管功能及症状评分与治疗前相比均有显著改善(P<0.05),两组间比较差异无统计学意义(P>0.05)。实验组患者的并发症发生例数,平均住院时间及住院费用均少于对照组(P<0.05)。结论:内镜下治疗贲门失驰缓症疗效与手术的疗效相当,但并发症少,对患者造成的创伤小,费用少,值得推广。

Objective： To compare and analyze the clinical curative effect ＇of endoscopic balloon dilation and surgical therapy in the treatment of esophageal achalasia. Method： 68 patients with esophageal achalasia were randomly divided into the control group and the experimental group. Each group had 34 cases. The experimental group was treated with endoscopic balloon dilation, while the control group was treated with surgical therapy. Compared the clinical curative effect of the two groups. Result： After the treatment ,the esophageal function and symptom scores of all the patients were better than those before the treatment （ P〈0.05 ）. And the difference of esophageal function and symptom score between the two groups was not statistically significant （ P〉0.05 ）. The occurrence of complications, hospital time and hospitalization expenses of the experimental group were obviously fewer than those of the control group （ P〈0.05 ）. Conclusion： Endoscopic balloon dilation and surgical therapy have the same clinical curative effect in the treatment of esophagealachalasia, but the endoscopic treatment has fewer complications, does little trauma and cheaper than the surgical therapy. So it is worth promoting.