数字化胃肠动态采集技术、定时吞钡检查在贲门失弛缓症的诊断及疗效评价中的应用

APPLICATION OF DIGITAL GASTROINTESTINAL DYNAMIC ACQUISITION TECHNOLOGY AND TIMED BARIUM ESOPHAGRAM IN THE DIAGNOSIS AND EVALUATION IN ACHALASIA

目的探讨数字化胃肠动态采集技术、定时吞钡检查(timed barium esophagram,TBE)在贲门失弛缓症(esophageal achalasia,EA)的诊断、治疗疗效评价及治疗后随访中的应用价值。方法观察EA患者60例,行内镜下球囊扩张或外科腹腔镜Heller手术治疗,观察治疗前、治疗后1个月、治疗后1年症状评分及吞钡检查后1,5min存钡高度、存钡宽度变化,动态采集技术测量最大贲门扩张宽度。结果 1EA治疗后1个月、治疗后1年症状评分、TBE结果均较治疗前明显好转(P<0.05),2Spearman相关分析显示,EA患者症状积分的改善与最大贲门宽度、存钡高度1,5min有显著相关(P<0.05)。结论 1TBE可作为评价EA病情严重程度的客观指标,2TBE可作为EA短期及长期疗效评价的客观指标。

Objective To investigate the role of gastrointestinal dynamic digital acquisition technology,timing barium swallow（timed barium esophagram,TBE）in the diagnosis,treatment efficacy evaluation and follow-up after treatment in achalasia（esophageal achalasia,EA）.Methods Sixty cases of EA patients,treated by endoscopic balloon dilation or surgical laparoscopic Heller surgery.All indexes were observed before treatment and 1 month after treatment,1 year after treatment,including symptom score,and1 minute,5 minutes after barium swallow barium deposit height,width barium deposit and the maximum width of cardiac dilation.Results Both in 1 month and 1 year after treatment,EA symptom scores,TBE results had significantly improved than before treatment（P〈0.05）.Spearman correlation analysis showed that patients with symptom score improvement of EA and the maximum width of the cardia,deposit barium height 1min,5min there was a significant positive correlation（P〈0.05）.Conclusion TBE is an available marker for evaluating the severity of achalasia,and the clinical efficacy in short-term and long-term.