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本组从1982年3月~1995年12月共收治贲门失弛缓症63例(包括外院会诊6例),男27例,女36例。其中单纯的Heler手术17例,Heler手术附加胃底固定术9例,Heler手术+膈肌瓣成形术32例。3例病人合并贲门癌,2例因粘膜分离时严重破损,无法修补,均行贲门切除,食管胃弓下吻合术。三种术式比较,作者体会到膈肌瓣成形术治疗贲门失弛缓症,手术操作较简单,比较安全,并发症少。对32例患者随访1~10年,吞咽困难消失,能进普食,体重增加,能参加体力劳动,恢复正常工作。是一种比较理想的手术方式。
The group from March 1982 ~ December 1995 were treated achalasia 63 cases (including 6 cases of outpatient consultation), 27 males and 36 females. Among them, 17 cases were treated by simple Heler operation, 9 cases by Heler operation with fixation of the fundus, 32 cases by Heler operation + diaphragm flap angioplasty. 3 patients with cardia cancer, 2 cases of serious damage due to mucosal separation, can not be repaired, underwent cardiac resection, esophageal and gastric anastomosis. Comparison of the three surgical procedures, the author learned that diaphragmatic flap angioplasty for the treatment of achalasia, surgical operation is relatively simple, safer, fewer complications. 32 patients were followed up for 1 to 10 years, dysphagia disappeared, can enter the general diet, weight gain, able to participate in manual labor to resume normal work. Is a more ideal surgical approach.