徐国良 朱建新 冯福才 陈村龙 智发朝 周丹 万田漠 张万岱 510515广州，第一军医大学南方医院消化科 中华消化内镜杂志 1999 0 16 4


    关键词：食管贲门失弛缓症；肌切开手术；气囊扩张 期刊 zhxhnjzz 0 论 著 fur -->


    

摘要 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pH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

XU Guoliang, ZHU Jianxin, FEMG Fucai,et al.
Department of Digestion,Nanfang Hospital， The Frist Military Medical University，510515

Abstract 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.
Key Words Achalasia Myotomy Ballon dilatation

食管贲门失弛缓症的治疗目前以手术和扩张治疗为主 ......