机械扩张治疗贲门失弛缓症

采用纤维型金属贲门扩张器治疗贲门失弛缓症27例,男10例,女17例,年龄16～54岁。病史5个月～12年。贲门狭窄段横径0.1～0.4cm,平均0.2mm。扩张横径2.8～3.2cm,平均3.0cm。扩张后饮食改善26例(96.3％),无效1例(3.7％),与本院手术治疗组比较,无显著性差异(P>0.01)。本文阐述了纤维型金属贲门扩张器的结构特征,扩张方法,扩张前准备,扩张中与扩张后可能出现的问题及预防处理措施等,认为贲门失弛缓症如无食管溃疡等合并症,以先行扩张治疗为宜。

Experience with Mechanical Dilation Treatment in Patients with Cardiac Achalasia

With fibriform metal cardiac dilator 27 patients with cardiac achalasia were treated. In this group, there were 10 males and 17 females, age 16-54 years old. Their disease history varied from 5 months to 12 years. The transverse diameters of the cardiac narrowed segments ranged from 0.1 cm to 0.4cm (average 0.2cm). The transverse diameters of the dilations ranged from 2.8cm to 3.2cm (average 3.0cm). 26 patients might swallow nomally after dilation (96.3%). Compared with the operation group there was no significant difference(P>0.01). This paper presents the structure character of the fibriform metal dilators, the method of dilation, the preparations of predilations, the problems occurred possibly in or after the dilations and methods to prevent and to deal with them. It is indicated that the patients with car-diac achalasia at early and middle stages should be treated by dilation except for esophagedl ulcer and other complications.