贲门失弛缓症的动力研究和胃镜直视下气囊扩张治疗

DYNAMICS RESEARCH AND TREATMENT WITH GASBAG DILATATION UNDER GASTROSCOPE OF CARDIA ACHALASIA

目的 :研究贲门失弛缓症患者扩张治疗前后食管动力学特征及气囊扩张治疗贲门失弛缓症的可行性。方法 :35例患者 ,均在非透视胃镜直视引导下行扩张治疗。其中 17例扩张治疗前、治疗后 3d以内、治疗后 3月、10例治疗后 1年行食管测压 ,观察下食管括约肌压力 (LESP)、松弛率 (LESR)及食管体部蠕动收缩的压力波幅和时限。结果 :35例患者扩张治疗全部有效。扩张后从症状积分看出 ,扩张后患者的临床症状明显改善 ,且持续一年 (P <0 .0 0 1)。扩张治疗后LESP ,LESR明显改善 ,以LESP下降尤为明显。结论 :气囊扩张法治疗贲门失弛缓症的近远期疗效均好 ,气囊扩张治疗疗效肯定 ,应予推荐。

Objective:Research esophagus dynamics character of cardia achalasia patient before and after dilatation, and the feasibility of dilatation the ABD gasbag to treatment cardia achalasia under gastroscope.Methods:Thirty-five patients, under gastroscope without X-ray, were down the dilatation with Rigiflex ABD. Among them, 17 patients, before dilatation, within 3 days after dilatation, 3 months after dilatation, and 10 cases patient, 1 year after dilatation, were done the esophagus manometry, observe the lower esophagus sphincter pressure(LESP), lower esophagus sphincter relaxation rate(LESR), the pressure wave frame and time frame of the esophagus peristalsis and retraction.Results: Thirty-five patients were recovered. The clinical symptom was distinctly ameliorated after dilatation, even spread 1 year( P <0.001).LESP and LESR were distinctly ameliorated after dilatation, especially LESP fell distinctly.Conclusion:Gasbag dilatation to treatment cardia achalasia has good curative effect in near and late future. Gasbag dilatation to treatment cardia achalasia under gastroscope without X-ray is feasible means, and should be recommended.