内镜下气囊扩张治疗贲门失弛缓症远期疗效观察

目的 观察内镜下气囊扩张治疗贲门失弛缓症远期疗效。方法 采用日产Pentax电子胃镜，美国产Miorovasive Rigiflex贲门失弛缓扩张气囊，在内镜下行气囊括张治疗，观察治疗2年后临床症状、食管X线拍片等方面的疗效及复发情况。结果 29例扩张治疗时间最长的为17年，最短的2年，平均7．5年。29例患者的营养状况明显好转，体质量增加最多的为18．0kg。最少的2．5kg。平均体质量增加了3．9kg，25例（4例未复查）再次复查食管吞钡X线拍片。并与治疗前相比。食管腔直径缩小最多的2.4cm，最小的0．8cm，平均1．7cm。无1例复发。结论 气囊扩张疗效确切，操作较容易，患者痛苦小。并发症少，复发率低。

Inside endoscopy next air sac expansion treatment achalasia long-term curative effect in observe

Objective] To study inside endoscopy bottom the air sac expansion treatment achalasia the long-term curative effect. Method] Pentax electronics endoscopy made in Japan, the miorovasive rigiflex made in the United States achalasia curative effect for losing idle the air sac of expansion, under the inside a endoscopy spirit bagging a treatment, observes to cure the clinical symptom, oesophagus X line to clap an etc. aspect after 2 years and relapses the circumstance. Result] Of 29 cases expansion treatment time, the longest is 17 years, the shortest 2 years, average 7.5 years. 29 nourishments of sufferer condition turns for the better obviously, the weight increment is at most for 18.0 kg, minimal 2.5 kg, average weight increasing 3.9 kg, 25 examples (4 examples did not reply to check) again replying checking oesophagus swallowing barium X line clapping a slice ofly, and comparing with treatment before, the oesophagus diameter contracts at most 2.4 cm, minimum 0.8 cm, average 1.7 cm, neither the example relapses. Conclusion] In fine the air sac expansion is not only suffers generally accepted, but also curative effect accurate, operation is easy. Suffering is less. The complication is little and relapse the low treatment in rate method.