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本文分析三种改良Ｈｅｌｅｒ手术治疗贲门失弛缓症２０例，其中单纯改良Ｈｅｌｅｒ术１６例，Ｈｅｌｅｒ术附加胃底折叠术３例，附加膈肌瓣成形术１例。２０例经随访６个月至１７年，总有效率１００％，发生返流性食管炎９例，占４５％，术中切穿粘膜５例，占２５％。本文对改良Ｈｅｌｅｒ术的疗效进行评价，并对是否需要附加抗反流术，切穿食管粘膜的防治进行讨论。
This article analyzes three modified Heler surgery in the treatment of achalasia in 20 cases, including simple modified Heler in 16 cases, Heler plus fundoplication in 3 cases, additional diaphragm flap angioplasty in 1 case. 20 cases were followed up for 6 months to 17 years, the total effective rate was 100%. There were 9 cases of reflux esophagitis, accounting for 45%. 5 cases were involved in mucosal resection, accounting for 25%. This article evaluates the efficacy of modified Heler surgery and discusses the need for additional anti-reflux and trans-esophageal mucosal prophylaxis.