CAJ | 학술논문

目的：探讨可回收特制金属支架置入治疗贲门失驰缓症的临床疗效。方法2012年1月至2013年1月我院收治的贲门失弛缓症患者共22例，经胃镜置入可回收特制金属支架，60 d后回收支架，评价患者术后疗效。结果放置支架一次性成功者21例(95.5%)，1例支架置入后轻度移位，所有患者均于支架放置2个月后回收。术后全部患者均有效解除吞咽困难，症状解除率为100%，钡餐透视钡剂通过顺利。呕吐、胸痛、返食是主要的术后并发症，经治疗后均有效缓解。结论采用可回收金属食管支架治疗贲门失弛缓症，操作简便、创伤小、安全性好、术后并发症少、回收方便、长期疗效确切。
목적：탐토가회수특제금속지가치입치료분문실치완증적림상료효。방법2012년1월지2013년1월아원수치적분문실이완증환자공22례，경위경치입가회수특제금속지가，60 d후회수지가，평개환자술후료효。결과방치지가일차성성공자21례(95.5%)，1례지가치입후경도이위，소유환자균우지가방치2개월후회수。술후전부환자균유효해제탄인곤난，증상해제솔위100%，패찬투시패제통과순리。구토、흉통、반식시주요적술후병발증，경치료후균유효완해。결론채용가회수금속식관지가치료분문실이완증，조작간편、창상소、안전성호、술후병발증소、회수방편、장기료효학절。
Objective To evaluate the effect of retrievable metallic stent on treating cardia achalasia. Methods 22 cases of cardia achalasia treated in our hospital from January 2012 to January 2013 were enrolled and treated with retrievable metallic stent under gastroscope guidance, which were removed 60 days later and the effects were evaluated. Results The stents were inserted successfully at one time in 21 cases (95.5%), and just in one case, the stent was found displaced slightly after operations. The stents in all cases were removed and collected 2 months later. And the symptom of dysphagia was obviously relieved with a remission rate of 100%, where the contrast passed smoothly under barium meal examination. Complications, such as vomiting, chest pain and regurgitation, can be allevi-ated effectively after treatment. Conclusion Retrievable metallic stent can be applied in patients with cardia achala-sia, with characteristics of simplicity in manipulating, less invasion, safety, less complications, convenience in recy-cling, and definite long-term effect.