摘要
目的:分析经口内镜下肌切开术(POEM)治疗贲门失弛缓(AC)的疗效和可行性。方法:回顾分析2015年8月—2018年8月收治的18例确诊为AC并行POEM治疗患者的临床资料,总结治疗效果及并发症等情况。结果:18例患者均顺利完成POEM术,1例发生肺部感染,1例发生纵隔气肿,经保守治疗后痊愈。结论:POEM作为一种新的内镜下微创手术,治疗AC近期疗效肯定,是治疗AC较为安全、有效的方法,可迅速缓解AC患者的吞咽困难症状。
Objective: To analyze the efficacy and feasibility of peroral endoscopic myotomy( POEM) for treatment of achalasia cardia( AC). Methods: The clinical data of 18 cases from August 2015 to August 2018 in hospital,who were diagnosed achalasia cardia and accepted POEM treatment,were reviewed. The curative effects and complications were analyzed. Results:All patients had completed POEM treatment,the lung infection occurred in 1 patients,mediastinal emphysema occurred in 1 patient. All complications were healed by conservative treatments. Conclusion: POEM is a promising new treatment for achalasia cardia resulting in short-time efficacy,which can relieve dysphagia,is a relatively safe and effective surgery,is worth to be popularized.
引文
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