Dellipiani A W, Hewetson K A
Q J Med. 1986 Mar;58(227):253-8.
A 15-year experience of the management of achalasia is described. Forty-five patients were managed by pneumatic dilatation after sedation with intravenous diazepam. The mean period of observation was 47.1 months. Eighty-six per cent of patients had either no symptoms or only minor symptoms following the procedure. Perforation occurred in four patients (8.8 per cent) and one of these required surgical intervention. The others were managed conservatively. Four cases (8.8 per cent) developed reflux. One patient died of myocardial infarction. Eighty-four per cent of patients needed one dilatation only and no patient required cardiomyotomy. The method is simple and rapid and most patients were discharged within 24 h of the procedure.
本文描述了15年贲门失弛缓症的治疗经验。45例患者在静脉注射地西泮镇静后接受了气囊扩张治疗。平均观察期为47.1个月。86%的患者在治疗后无症状或仅有轻微症状。4例患者（8.8%）发生穿孔，其中1例需要手术干预，其他患者采用保守治疗。4例患者（8.8%）出现反流。1例患者死于心肌梗死。84%的患者仅需一次扩张治疗，无患者需要进行贲门肌切开术。该方法简单快捷，大多数患者在治疗后24小时内出院。
