贲门失弛缓症可回收支架置入治疗22例分析

Recyclable esophageal stent in the treatment of 22 cases of esophageal achalasia

摘要:

目的 探讨可回收食管支架在治疗贲门失驰缓症的临床价值。 方法 2007年1月～2010年3月，对22例贲门失弛缓症患者采用内镜直视下置入可回收支架并比较支架置入前、支架取出后3个月患者症状评分、食管最大宽度（MWE）、下食管括约肌静息压（LESP），并对患者进行长期随访。 结果 ①症状评分（8.12±1.88）VS（1.67±0.51），P <0.01。②食管最大宽度为（3.35±0.23）VS（1.78±0.34），P <0.05。③LESP为（41.36±8.24）VS（11.86±2.76），P <0.01。④术后并发症发生率：疼痛57.6%（15/26），支架脱落及移位15.4%（4/26），烧心等3.8%（1/26）。⑤随访3、6、12、24个月仅有0、0、1（3.8%）、2（7.6%）例患者复发。 结论 支架置入治疗贲门失弛缓症并发症少，近期及远期疗效满意，是一种简单可行、安全有效的治疗方法。

Abstract:

【Objective】 To investigate the clinical value of recyclable esophageal stent in the treatment of esophageal achalasia. 【Methods】 From January 2007 to March 2010, 22 cases of achalasia patients were inserted retrievable stents using the endoscope and the symptom score, maximum width of esophagus (MWE), lower esophageal sphincter resting pressure (LESP) of the stent insert or stent remove after 3 month were compared , and long-term follow-up was carried out . 【Results】 ①symptom score (8.12±1.88) VS (1.67±0.51), P <0.01; ②maximum width of esophagus (MWE) (3.35±0.23) VS (1.78±0.34), P <0.05; ③lower esophageal sphincter resting pressure (LESP) (41.36±8.24) VS (11.86±2.76), P <0.01; ④Incidence of postoperative complications: Pain 57.6% (15/26), stent amotio or migration15.4% (4/26); heartburn 3.8% (1/26); ⑤Follow-up 3, 6, 12, 24 months, only 0, 0, 1 (3.8%), 2 (7.6%) patients relapsed. 【Conclusion】 The stent treatment of esophageal achalasia has few complications, short and long term results are satisfactory, which is a simple, safe and effective treatment method.