肌切开术和气囊扩张治疗食管贲门失弛缓症的前瞻性研究

目的　比较手术和气囊扩张治疗食管贲门失弛缓症的疗效。方法　对 ４８ 例患者（手术１８ 例，气囊扩张 ３０ 例）进行了一年以上的随访观察，通过对临床症状， Ｘ 线钡餐食管造影，胃镜检查和食管２４ 小时连续ｐ Ｈ 监测等进行比较分析。结果　手术和气囊扩张治疗食管贲门失弛缓症在以上几个方面差异均无显著性。结论　手术和气囊扩张均是治疗食管贲门失弛缓症安全有效的方法。而气囊扩张由于其方法简单，不必住院，费用较低等更适合我国国情。

Achalasia treated by balloon dilatation and myotomy:a prospective comparative study

Objective The therapeutic effect of achalasia treated by either cardiac myotomy or balloon dilatation were contrasted. Methods A series of 48 consecutive patients with achalasia were categorized on their own will into teams receiving myotomy (n=18) or balloon dilatation (n=30) .All were followed up >1 year in terms of clinical manifestation ,radiography,gastroscopy and dynamic pH tests.The data were treated statistically. Results No significant difference was found between them regarding above terms. Conclusion The two measures are both effective for achalasia ,whereas balloon dilation seems more favorable for the victim,can be managed as out patient with less complication and expenses.