改良Heller加带蒂膈肌瓣翻转治疗贲门失弛缓症的临床疗效观察

Clinical treatment effect in achalasia of the cardia by modified heller and pedicle diaphragm

目的探讨改良Heller加带蒂膈肌瓣翻转治疗贲门失弛缓症的临床效果。方法自2003年开始,该科用改良Heller加带蒂膈肌瓣翻转治疗贲门失弛缓症24例,通过对比手术前后食管下括约肌静息压(LESP)、食管下括约肌松弛率(LESRR)以及手术后24 h食管pH值进行临床效果评价。结果用改良Heller加带蒂膈肌瓣翻转治疗贲门失弛缓症手术前后食管下括约肌静息压(LESP)、食管下括约肌松弛率(LESRR)等数据比较具有统计学意义(P<0.05)。结论改良Heller加带蒂膈肌瓣翻转治疗贲门失弛缓症,手术简单,术后效果满意,并发症少,复发几率小,术后反流发生率少,值得临床推广。

Objective To explore the clinical treatment effect in achalasia of the cardia by modified heller and pedicle diaphragm.Methods Since 2003,all the patients with achalasia of the cardia（24 cases） were treated by modified Heller flip,and then we analyzed the data of pre-operation and post-operation to assess the clinical effect with SPSS 17.0 for Windows,which were the under esophageal sphincter resting pressure（LESP）,esophageal sphincter under rate（LESRR） and esophageal pH value of 24 hours after the operation.Statistical test was used according to different types of the data.P 0.05 was considered statistically significant.Results There was statistically significant difference between the pre-and post-operation data（P 0.05）.Conclusions Modified Heller pedicle diaphragm valve used in achalasia of the cardia is worth to widespread,because of the simple operation,good results after operation,fewer complications,less recurrence and incidence of postoperative reflux.