内镜下气囊扩张术治疗贲门失弛缓症

目的探讨內镜直视下气囊扩张术治疗贲门失弛缓症的效果?椒ā《?04例经多种药物治疗不佳的贲门失弛缓症患者行內镜直视下气囊扩张术,术后定期随访。结果扩张术成功率100%,104例患者治疗后吞咽困难得到明显缓解。随访3个月症状缓解率为95.2%,6个月时为93.3%。术中发生食管穿孔1例,经外科手术治愈。结论内镜下气囊扩张术治疗贲门失弛缓症属微创性治疗,并发症少,病人易接受,安全,近期疗效满意。

Treatment of achalasia with endoscopic balloon dilatation

Objective To study the efficacy of endoscopic balloon dilatation for patients with achalasia. Methods Dne hundred and four achalasia patients failed in medicine therapy were treated by endoscopic balloon dilatation, and were followed up periodically after trentment. Results The excellent success rate of endoscopic balloon dilatation was 100%, dysphagia symptoms were significantly alleviated in 104 achalasia patients after endoscopic balloon dilatation. Following up ranged to 6 months.The rate of remission of dysphagia symptoms was 95.2% in the 3th months after trentment and 93.3% in the 6th month. one achalasia patient had complication of esophageal perforation ,and was cured with surgical therapy. Conclusion Endoscopic balloon dilatation for achalasia is an effective,safe, well-toleranced and minimally invasive method in the short term ,with a high success rate and rare complications.