功能性消化不良患者近端胃适应性功能检测技术的研究进展  

Progress in measurements of proximal gastric accommodation in patients with functional dyspepsia

作　　者：徐茜茜[1] 张艳丽[1] 姚树坤[1] 

机构地区：[1]北京中日友好医院消化内科,北京市100029

出　　处：《世界华人消化杂志》2013年第25期2530-2536,共7页World Chinese Journal of Digestology

摘　　要：近端胃适应性受损作为功能性消化不良的重要病理生理机制之一,他的评价方法已受到广泛的关注.胃适应性的金标准方法是恒压器技术,但该方法需要插管,为侵入性检查.近几年,一些新方法如单光子发射计算机断层显像技术、三维超声及核磁共振成像等能够比较准确评估胃的适应性,但其操作技术复杂且价格昂贵,限制了临床应用.目前临床研究应用较多的饱感负荷试验,是一种简单无创的方法,该方法因试餐种类、饮入速度等差异,对胃适应性的评价有所不同.本文总结和分析了各种胃适应性检测方法的优缺点,便于临床和研究中更好地评价功能性消化不良患者的近端胃适应性功能.Since gastric accommodation is an important parameter for investigating the pathophysiology of functional dyspepsia, the measurement of gastric accommodation has aroused widespread interests. Gastric barostat remains the gold standard, but it needs intubation and is invasive. In recent years, emerging modalities including single photon emission computed tomography （SPECT）, three-dimensional ultrasound and magnetic resonance imaging have been developed to measure gastric volumes accurately and non-invasively; however, these technologies are sophisticated and expensive, which limits their clinical application. The satiety drinking test is simple and non-invasive and is often used in clinical and research studies, but the differences in the types of meals and the drinking speed among different studies often cause differences in the evaluation of gastric accommodation. The aim of this review is to summarize the advantages and disadvantages of various measurements of gastric accommodation.

关 键 词：胃适应性 恒压器 超声检查 单光子发射计算机断层成像术 核磁共振成像 液体营养试餐试验 

分 类 号：R57[医药卫生—消化系统]