[1]宋锦文,印建国,杨 艳,等. 大直径球囊扩张治疗80例贲门失弛缓症的中远期疗效评价分析[J].介入放射学杂志,2011,(12):1000-1003.
　SONG Jin-wen,YIN Jian-guo,YANG Yan,et al.Large-diameter balloon dilation for the treatment of achalasia of cardia: an analysis of mid-to-long term efficacy in 80 cases[J].journal interventional radiology,2011,(12):1000-1003.
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 大直径球囊扩张治疗80例贲门失弛缓症的中远期疗效评价分析 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2011年12期
页码:
1000-1003
栏目:
临床研究
出版日期:
2011-12-30

文章信息/Info

Title:
Large-diameter balloon dilation for the treatment of achalasia of cardia: an analysis of mid-to-long term efficacy in 80 cases
作者:
 宋锦文;  印建国;  杨 艳;  刘晓红;  王志宏
730050 兰州 兰州军区兰州总医院放射科
Author(s):

SONG Jin-wen;  YIN Jian-guo;  YANG Yan;  LIU Xiao-hong;  WANG Zhi-hong.
Department of Radiology, Lanzhou General Hospital, Lanzhou Military Area Command, Lanzhou 730050, China
关键词:
 ; 【关键词】 贲门失弛缓症;  大直径球囊;  扩张治疗;  中远期;  疗效评价
分类号:
R571.2
文献标志码:
A
摘要:
 【摘要】 目的 探讨并总结大直径（４０ ｍｍ）球囊扩张治疗贲门失弛缓症的方法及中远期疗效。方法 ８０例患者病程３ ～ ２３年。ＭｅｌｌｏｗＰｉｎｋａｓ吞咽困难分级（０ ～ ４级）为：Ⅰ级６例，Ⅱ级６０例，Ⅲ级１４例；均经钡餐透视（１２例行胃镜检查）证实。在２％利多卡因咽部喷雾麻醉下，以球囊间歇（间隔３　～　５　ｍｉｎ）、逐渐扩张贲门狭窄部至球囊最大径４０　ｍｍ，重复２　～　３次。术后常规预防出血和感染，２　～　３ ｈ即可进食较凉流质饮食、３ ｄ内进半流质饮食并逐渐过度为正常进食。术后随访问２　～　１０年。结果　　　操作成功率１００％，其中１次操作治疗成功９６．３％（７７／８０），２次扩张（３例先经小球囊预扩）成功３．７％（３／８０）。术后破裂行手术修补１例（１．２％）。术后随访平均６．２７年， 其中大于１０年４例，６　～　１０年４４例，３　～　５年２１例，２年１１例，吞咽困难缓解率１００％，其中能正常进食９０％（７２／８０），正常进食时偶有轻度梗噎感１０．０％（８／８０）。轻度食管反流占１５．０％（１２／８０）。结论　　　从患者接受程度、疗效及并发症等综合评价，大直径球囊扩张术是目前治疗贲门失弛缓症的最佳方法。具有操作简单、创伤小、费用低且中远期疗效较好的优点，可作为成年人贲门失弛缓症的首选治疗方法。

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备注/Memo

备注/Memo:
(收稿日期:2011-05-18)
更新日期/Last Update: