目的　探讨贲门失弛缓症的有效治疗方案 ,对内镜下治疗方法进行评价。方法　对 1999年 4月— 2 0 0 3年 4月经胃镜检查及钡餐造影确诊为贲门失弛缓症的 4 4例患者 (接受治疗 5 1人次 )进行分析 ,其中内镜下肉毒素注射13人次 ,球囊扩张 2 0人次 ,肉毒素联合球囊扩张 2人次 ,未正 Objective To investigate the effective treatment of achalasia and to evaluate the methods of endoscopic treatment. Methods Forty four patients diagnosed as achalasia by gastroscopy and barium meal angiography during April 1999 to April 2003 were enrolled in this study. 51 patients were treated by botulinum toxin endoscopy, 20 cases of balloon dilation, 2 cases of botulinum toxin balloon dilation, not positive