Boston专用球囊扩张治疗贲门失弛缓症107例报告

目的总结Boston专用扩张球囊治疗贲门失弛缓症105例的方法与疗效。方法在电视监视下经口腔置入加强导丝,并经导丝引入球囊于贲门狭窄部,狭窄严重者需用20～25 mm球囊预扩张。手推法球囊内注入15%造影剂,将球囊循序渐进与间断性扩张至球囊存在小切迹为止。持续5 m in后松解,3～5 m in后再扩张,连续2~3次。结果 105例球囊扩张成功率100%,13例2次扩张,1例无效和1例破裂手术,术后随访2周~6年,总有效率98%。结论采用直径40 mm专用球囊治疗贲门失弛缓症,方法简单、疗效可靠,可以取代外科手术。

Boston's balloon dilatation for treatment of achalasia of cardia (report of 107 cases)

Objective To conclude the effect of 107 cases with the method of Boston's balloon dilation for treatment of achalasia of cardia.Methods The intensified guide wire was inserted into stomach through mouth cavity under the TV monitoring.The Boston's balloon was inserted to the cardiac stricture through the guide wire and dilated with 15% contrast medium with to a maximum diameter for five minutes and then the balloon was dilated again for 3～5 minutes,all together for 3～4 minutes.The severe stricture must be pre-dilated with 20～25 mm diameter balloon.Results The balloon insertion was technically successful in all 107 patients.The once success of balloon dilation was achieved in 94 patients and twice in other 13.There was 1 patient showed no changed and 1 patient was occurred esophageal capture.Follow-up time was from 2 weeks to 6 years.The total effective rate was 98%.Conclusion The Boston's 40mm diameter balloon dilation for treatment of achalasia of cardia was a simple and effective method.This method sometimes may replace surgical procedure.