贲门失弛缓症的手术治疗：Dor手术
Surgery for achalasia cardiae: the Dor operation.
作者信息
Desa L A, Spencer J, McPherson S
机构信息
Royal Postgraduate Medical School, Hammersmith Hospital, London.
出版信息
Ann R Coll Surg Engl. 1990 Mar;72(2):128-31.
This review describes our use of the Dor operation in the management of 22 patients with achalasia of the cardia over the period 1970 to 1989. There was a male to female ratio of 1.8:1. All presented with dysphagia of varying degree, with regurgitation (86%), weight loss (73%), pain (59%) and chest infections (14%) being associated symptoms. Two patients had undergone previous balloon dilatation, with temporary benefit. The morbidity was low and follow-up results were good in 94% of cases. None of the patients had symptoms of gastro-oesophageal reflux in the postoperative period. In our experience, the Dor modification of the Heller operation has yielded gratifying results.
本综述描述了我们在1970年至1989年期间对22例贲门失弛缓症患者采用Dor手术进行治疗的情况。男女比例为1.8:1。所有患者均有不同程度的吞咽困难，伴有反流（86%）、体重减轻（73%）、疼痛（59%）和胸部感染（14%）等相关症状。两名患者曾接受过球囊扩张术，有短暂疗效。发病率较低，94%的病例随访结果良好。术后无一例患者出现胃食管反流症状。根据我们的经验，Heller手术的Dor改良术取得了令人满意的结果。
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