Vantrappen G, Hellemans J, Deloof W, Valembois P, Vandenbroucke J
Gut. 1971 Apr;12(4):268-75. doi: 10.1136/gut.12.4.268.
During the last 13 years 264 unselected patients with achalasia have been treated solely by the technique of pneumatic dilatation. The principle of the method was to continue the series of consecutive dilatations until the result was satisfactory. This paper reports the late results in 138 patients who were treated more than three years ago (3-13 years; mean 6.6 years). The results were evaluated by somebody who had not before been involved in the treatment of achalasia. The evaluation was based on a personal interview, a standardized radiological examination, and intraluminal pressure measurements. These late results were classified as excellent in 45%, good in 32%, moderate in 17%, and poor in 6%. The best results were obtained in patients with a history of five to twenty years and a moderately dilated oesophagus (50-80 mm.). Comparison of the clinical results with the manometric data obtained before, immediately after, and late after treatment indicates that intraluminal pressure measurements may be a useful guide for the treatment of achalasia by pneumatic dilatations.
在过去的13年里，264例未经挑选的贲门失弛缓症患者仅接受了气囊扩张术治疗。该方法的原则是持续进行一系列连续扩张，直至结果令人满意。本文报告了138例在三年多以前（3 - 13年；平均6.6年）接受治疗的患者的远期结果。结果由之前未参与过贲门失弛缓症治疗的人员进行评估。评估基于个人访谈、标准化的放射学检查以及腔内压力测量。这些远期结果中，45%为优秀，32%为良好，17%为中等，6%为差。在病程为5至20年且食管中度扩张（50 - 80毫米）的患者中取得了最佳结果。将临床结果与治疗前、治疗后即刻以及治疗后远期获得的测压数据进行比较表明，腔内压力测量可能是气囊扩张术治疗贲门失弛缓症的有用指导。
