无痛内镜直视下气囊扩张治疗贲门失弛缓症的方法及疗效评价

Value and safety of anesthesia endoscopic pneumatic balloon dilatation on achalasia.

目的探讨无痛内镜直视下气囊扩张术治疗贲门失弛缓症的临床疗效及安全性。方法 92例确诊为贲门失弛缓症患者,在无痛胃镜下行气囊扩张术,评价治疗前后主要症状的改善情况及上消化道造影的改变。结果采用无痛胃镜提高患者耐受性,每位患者均能顺利完成扩张术;临床症状均得到有效改善,食管下段狭窄改善;术后有黏膜渗血、贲门撕裂、胸痛等并发症,对症处理后缓解,并无穿孔等严重并发症发生。结论无痛胃镜直视下气囊扩张术是治疗贲门失弛缓症安全、经济、有效的治疗方法。

Objective To evaluate the effect and safety of anesthesia endoscopic pneumatic balloon dilata- tion on achalasia. Methods The clinical data of 92 patients with achalasia were analyzed retrospectively. The opera- tion was performed with the straight guide of anesthesia endoscopy. Improvements of symptoms and changes in upper gastrointestinal contrast were compared before and after treatment. Results The clinical symptoms were relieved in all patients, and the lower of esophageal width was increased. The complications such as mucosa bleeding, serious car- diac tear and chest pain were rare and mild, and no severe complication appeared. Conclusion Anesthesia endoscop- ic guided pneumatic balloon dilation is an effective, safety and economy method for treating achalasia.