摘要目的 探讨胃镜下逐级气囊扩张治疗贲门失驰症的疗效和安全性.方法 29例贲门失驰症患者行胃镜直视下逐级气囊扩张治疗,术后定期随访,观察患者临床症状缓解情况.结果 扩张技术成功率100%,29例患者治疗后吞咽困难症状都得到缓解,未发生穿孔并发症.随访时间为一年.1个月时症状缓解率为100%,1年时为88.0%.结论 胃镜直视下逐级气囊扩张治疗贲门失驰症具有安全性高、疗效确切、损伤小等优点,是贲门失驰症的理想和首选治疗方法.

abstractsObjective To evaluate the effieacy and safety of progressive balloon dilatation under endo-scope for achalasia. Methods 29 patients with aehalasia were treated by progressive balloon dilatation under endoscopic vision,and their symptoms were investigated periodically. Results The excellent success rates of balloon dilation were 100%. The dysphagia symptoms remitted in all of the 29 patients and without complication of perforation. The following up ranged to 1 year. The rate of remission of dysphagia symptoms 100% at 1 month, 88.0% at 12 months. Conclusion Progressive balloon dilation under the endoscope for achalasia has the ade-vantage of high safety, certain therapeutic effect, tiny lesion and so on. It is the first and ideal choice for the treatment of achalasia.