Junginger T, Hecker A, Boor S
Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes-Gutenberg-Universität Mainz.
Chirurg. 1995 Apr;66(4):313-8.
For operative treatment of achalasia transabdominal myotomy combined with a semifundoplication was performed in 37 patients. 35 patients could be followed up during an average period of 41 months. 19 patients (54%) were completely and 12 (34%) almost symptom-free. In one case a peptic esophageal stenosis developed. The results of operation were especially in the group of young patients under 40 years favourable and there was no influence on results of preoperative duration of symptoms or number of dilatations before surgery. Transabdominal myotomy with semifundoplication has shown as a procedure with low complication rates and good long-time results for the symptomatically therapy of achalasia.
对37例贲门失弛缓症患者实施了经腹肌切开术联合半胃底折叠术进行手术治疗。35例患者获得随访，平均随访时间为41个月。19例患者（54%）症状完全消失，12例患者（34%）几乎无症状。有1例患者发生了消化性食管狭窄。手术结果在40岁以下的年轻患者组中尤其良好，术前症状持续时间或手术前扩张次数对结果无影响。经腹肌切开术联合半胃底折叠术已显示出是一种并发症发生率低且对贲门失弛缓症症状性治疗具有良好长期效果的手术方法。
