贲门成形术治疗贲门失弛缓症72例疗效分析

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。

Treatment of achalasia by cardioplasty(an analysis of 72 cases)

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.