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贲门失弛缓症的治疗
引用本文:周震宇,莫剑忠. 贲门失弛缓症的治疗[J]. 胃肠病学, 2012, 17(1): 56-58
作者姓名:周震宇  莫剑忠
作者单位:1. 上海市长宁区同仁医院消化科 200050
2. 上海交通大学医学院附属仁济医院消化内科
摘    要:贲门失弛缓症是一种病因尚未明确、累及食管平滑肌和下食管括约肌(LES)的动力障碍性疾病。以吞咽时食管体部蠕动消失、LES松弛障碍为特征。本病的治疗方式包括药物、注射肉毒杆菌毒素、气囊扩张术和肌切开术,旨在降低LES压力,促进食管排空,多数患者可获得较理想的结局。本文就贲门失弛缓症的治疗现状作一综述。

关 键 词:食管失迟缓  食管括约肌,下段  肉毒毒素类  气囊扩张术  肌切开术

Treatment of Achalasia
ZHOU Zhenyu , MO Jianzhong. Treatment of Achalasia[J]. Chinese Journal of Gastroenterology, 2012, 17(1): 56-58
Authors:ZHOU Zhenyu    MO Jianzhong
Affiliation:1Department of Gastroenterology,Tongren Hospital of Changning District,Shanghai(200050);2Department of Gastroenterology,Renji Hospital,Shanghai Jiaotong University School of Medicine,Shanghai
Abstract:Achalasia is an esophageal motility disorder with unknown etiology,involving the esophageal smooth muscle and lower esophageal sphincter(LES),characterized by the absence of peristalsis in esophageal body and failure of LES relaxation in response to swallowing.The treatment of achalasia includes pharmacologic agents,botulinum toxin injection,pneumatic dilation and myotomy,so as to reduce the LES pressure and facilitate esophageal emptying,and most patients can achieve excellent results.This article reviewed current status about the treatment of achalasia.
Keywords:Esophageal Achalasia  Esophageal Sphincter,Lower  Botulinum Toxins  Pneumatic Dilation  Myotomy
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