CAJ | 학술논문

目的观察经口内镜下肌切除术(POEM)治疗贲门失弛缓症的临床疗效和安全性.方法对2010年11月至2011年11月7例确诊为贲门失弛缓症的患者行POEM手术.记录术前吞咽困难评分、术后并发症及近期远期疗效.结果 7例患者POEM手术均成功.手术时间46～113 min,平均(73±20) min.术后除2例出现皮下气肿、纵隔气肿,经内科治疗后痊愈,余均未出现相关并发症.术后随访1～12个月,7例患者吞咽困难均得到明显改善.结论 POEM手术可以迅速解除贲门失弛缓症患者吞咽困难,且具有一定的安全性.
목적 관찰경구내경하기절제술(POEM)치료분문실이완증적림상료효화안전성.방법 대2010년11월지2011년11월7례학진위분문실이완증적환자행POEM수술.기록술전탄인곤난평분、술후병발증급근기원기료효.결과 7례환자POEM수술균성공.수술시간46～113 min,평균(73±20) min.술후제2례출현피하기종、종격기종,경내과치료후전유,여균미출현상관병발증.술후수방1～12개월,7례환자탄인곤난균득도명현개선.결론 POEM수술가이신속해제분문실이완증환자탄인곤난,차구유일정적안전성.
Objective To evaluate the effects and the safety of peroral endoscopic myotomy (POEM) for achalasia (AC).Methods POEM was performed on 7 AC patients from November 2010 to November 2011.Preoperative dysphagia grade,postoperative complications and short-term and long-term efficacy were recorded.Results POEM was performed successfully on all the 7 patients.The operation time were ranging from 46 to 113 minutes,mean 73 ± 20 minutes.Subcutaneous emphysema and mediastinal emphysema occurred in 2 patients,but cured after treatment.The 1-12 month follow-up showed dysphagia of all the patients was obviously improved.Conclusion POEM is efficient and safe to relieve dysphagia of AC patients.