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贲门成形术治疗贲门失弛缓症72例疗效分析
引用本文:周斌,张潍,李少民,乔哲.贲门成形术治疗贲门失弛缓症72例疗效分析[J].陕西医学杂志,2006,35(9):1142-1144.
作者姓名:周斌  张潍  李少民  乔哲
作者单位:西安交通大学第二医院胸心外科,西安,710004
摘    要:目的:重建贲门功能,防止贲门失弛缓症术后并发症。方法:对72例贲门失弛缓症患者施行食管下段胃贲门部切除,贲门成形术。术后对68例患者进行了1~8年随访,行上消化道钡餐透视、胃镜及食管内测压检查,并与正常人测压结果进行对比。结果:本组无手术死亡,无吻合口瘘、吻合口狭窄等并发症。手术组的食管上、下括约肌静止压和压力区范围与正常人食管上下端括约肌静止压和压力区范围无显著性差异(P>0.05)。结论:贲门成形术是治疗贲门失弛缓症的一种安全、有效方法。

关 键 词:食管失弛症/诊断  食管失弛症/外科学  贲门
收稿时间:2006-03-20
修稿时间:2006-03-20

Treatment of achalasia by cardioplasty(an analysis of 72 cases)
Zhou Bin, Zhang Wei, Li Shaomin, et al.Treatment of achalasia by cardioplasty(an analysis of 72 cases)[J].Shaanxi Medical Journal,2006,35(9):1142-1144.
Authors:Zhou Bin  Zhang Wei  Li Shaomin  
Institution:Xi'an 710004
Abstract:Objective:To reconstruct the function of cardia and prevent postoperative complications of achalasia. Methods:Excision of inferior segmental esophagus and cardia of stomach and cardioplasty were performed in 72 cases of patients with achalasia.Postoperative examinations of 68 cases including barium meal examination of upper digestive tract,gastroscope examination and intraesophageal manometry were performed and the patients were followed-up for 1~8 years. Results:No complications of death,fistula and stricture occurred. The quiescence pressure and range of pressure of upper and inferior sphincter of esophagus had no obvious difference between surgical group and normal person(P>0.05).Conclusion:Cardioplasty is a safe and effective method in treatment of achalasia.
Keywords:Esophageal achalasia/diagnosis Esophageal achalasia/surgery Cardia
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