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目的 :观察内镜下气囊扩张术治疗贲门失弛缓症的中远期疗效 ,探索贲门失弛缓症的非手术治疗方法。方法 :对内镜 /钡餐检查诊断为贲门失弛缓症的 6 8例患者 ,用直径 3.0cm、3.5cm气囊行内镜下气囊扩张治疗 ,疗效判断按Stooler分级法 ,吞咽困难减轻 1级为有效 ,减轻 2级或无梗阻为显效 ,以首次扩张治疗后 6个月～ 1年为中期疗效、1年以上为远期疗效 ,计算该疗法的中远期有效率。结果 :中期疗效达 10 0 % ,远期疗效为 98.4% ,少数复发病例再次扩张治疗后吞咽困难症状缓减 ,无食道大出血、穿孔等严重并发症发生。结论 :内镜下气囊扩张术治疗贲门失弛缓症具有良好的中远期疗效 ,值得推广应用。
Objective: To observe the long-term efficacy of endoscopic balloon dilatation in the treatment of achalasia, and to explore the non-surgical treatment of achalasia. Methods: Sixty-eight patients diagnosed as achalasia by endoscopy / barium meal were treated with endoscopic balloon dilatation with 3.0cm in diameter and 3.5cm in diameter. According to the Stooler grading method, grade 1 was effective in reducing dysphagia , Reduce grade 2 or no obstruction was markedly effective, to the first expansion of treatment after 6 months to 1 year for the medium-term efficacy, more than 1 year for long-term efficacy, calculate the long-term efficiency of the therapy. Results: The mid-term efficacy of 10%, long-term efficacy was 98.4%, a small number of recurrent cases of re-expansion after treatment, the symptoms of dysphagia, no bleeding, perforation and other serious complications. Conclusion: Endoscopic balloon dilatation for the treatment of achalasia has a good long-term efficacy, which is worth popularizing and applying.