[食管肌层折叠术治疗失代偿性贲门失弛缓症]
[Esophageal myoplicature in the treatment of decompensated achalasia].
作者信息
Herfarth C, Mattes P, Heil T
出版信息
Chirurg. 1979 Nov;50(11):681-5.
Heller's cardiomyotomy or one of the modifications are not sufficient in the third stage of achalasia. Additional surgery is required for reversion of the dilated and elongated esophagus. Two patients with third-grade achalasia were treated by cardiomyotomy in combined with esophagomyoplication and followed up for one year. The results were evaluated clinically, radiologically, manometrically, pH-metrically, and endoscopically. We concluded that esophagomyoplication satisfactorily completes cardiomyotomy in cases of third-grade achalasia.
在贲门失弛缓症第三阶段，赫勒食管肌层切开术或其改良术式并不充分。需要额外手术来使扩张延长的食管恢复正常。两名重度贲门失弛缓症患者接受了食管肌层切开术联合食管肌层折叠术治疗，并随访一年。通过临床、放射学、测压、pH值测量及内镜检查对结果进行评估。我们得出结论，在重度贲门失弛缓症病例中，食管肌层折叠术能令人满意地完善食管肌层切开术。
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