CAJ | 학술논문

目的通过总结渐近全层肌切开式经口内镜下肌切开术(POEM)治疗贲门失弛缓症的疗效,促进POEM的发展.方法从2010年12月至2014年1月间行POEM术的188例患者中,选择行渐进式POEM的患者41例,对术后症状缓解及反流情况进行自身对照比较及分析.结果 41例患者术后症状Eckardt评分较术前有明显改善(P ＜0.001),食管动力测压结果也证实了症状缓解的成效.术后反流发生率在症状学和胃镜下表现分别为26.83％和27.27％.结论渐进全层肌切开式POEM可有效缓解贲门失弛缓症的症状,其防反流的成果也初步令人满意.
목적 통과총결점근전층기절개식경구내경하기절개술(POEM)치료분문실이완증적료효,촉진POEM적발전.방법 종2010년12월지2014년1월간행POEM술적188례환자중,선택행점진식POEM적환자41례,대술후증상완해급반류정황진행자신대조비교급분석.결과 41례환자술후증상Eckardt평분교술전유명현개선(P ＜0.001),식관동력측압결과야증실료증상완해적성효.술후반류발생솔재증상학화위경하표현분별위26.83％화27.27％.결론 점진전층기절개식POEM가유효완해분문실이완증적증상,기방반류적성과야초보령인만의.
Objective To evaluate the curative effect of asymptotic full-thickness myotomy type of peroral endoscopic myotomy(POEM) for achalasia.Methods Data of 41 patients who underwent asymptotic POEM at our digestive endoscopy center from December 10th 2010 to January 10th 2014 were retrospectively studied.The postoperative and preoperative symptoms and reflux were compared.Results The postoperative Eckardt scores of symptoms of 41 patients improved significantly(P ＜ 0.001) compared with before.Esophageal dynamic pressure also showed the effectiveness of symptom relief.The incidence of postoperative reflux in symptoms and gastroscopy were 26.83％ and 27.27％,respectively.Conclusion Asymptotic fullthickness myotomy POEM can alleviate the symptoms of achalasia and the effect of inhibiting reflux is generally satisfactory.