胃下垂患者胃镜下胃动力学观察及测量  

SURVEY THE MOTONICITY OF THE PATIENTS WITH GASTROPTOSIA BY ENDOSCOPY

作　　者：陈文柳[1] 戴益琛[1] 戴禄寿[1] 申爱华[1] 

机构地区：[1]解放军174医院,厦门361003

出　　处：《中国内镜杂志》2001年第6期26-27,共2页China Journal of Endoscopy

摘　　要：目的 :探讨胃镜对胃下垂的诊断方法。方法 :常规胃镜检查 ,依据胃窦宽度、运动状态及幽门口开放度等 ,将胃窦动力状态区分为胃窦弛缓型、胃窦紧张型、返流型及正常型。同时测量门齿～幽门间距 ,并计算门齿～幽门间距 /身高比值。结果 :胃下垂患者中胃窦弛缓型占 77.5 % (31/ 40 ) ,对照组为 2 6 .7% (8/ 30 )。胃下垂患者门齿～幽门平均间距为 81.9cm ,门齿～幽门间距 /身高比值为 0 .5 19+0 .0 16 ,对照组平均间距为 74.5cm ,门齿～幽门间距 /身高比值为 0 .433± 0 .0 2 2 ,两组比值比较 ,差异非常显著 (P <0 .0 1)。结论 :胃镜对胃窦动力状态的观察及计算门齿～幽门间距 /身高比值 ,可为胃镜诊断胃下垂提供重要依据。Objective:Discuss the diagnostic value of endoscopy to gastroptosia patients.Methods:accouting to the gastric motorisity, the patients was randomized to four group; gastric ralaxation groups,gastric intent groups,duodenal gastric reflex groups and the normal control.Survey the lenth of the cutting teeth to the gastric pylorus by endoscopy and the tall of the patients,compare lenth of the cutting teeth to the gastric pylorus of the gastroptosia patients and the index of the lenth/tall.Results:In the gastroptosia patients,77.5% were gastric ralaxation, in the other groups,26.7% were gastric ralaxation,the lenth of the cutting teeth to the gastric pylorus and the index of the lenth/tall was 81.9cm and 0.519±0.016, in the control groups,it was 74.5cm and 0.433±0.022.There are significant difference( P <0.01).Conclusions:Endoscopy is the new way to diagnosis the gastroptosia patients.

关 键 词：胃下垂 胃镜 胃动力 

分 类 号：R572.104[医药卫生—消化系统]