食管测压在贲门失弛缓症的应用  

The manometric study of esophagus in achalasia

作　　者：张庆华[1] 常浩[1] 张铁娃[1] 王胜发[1] 

机构地区：[1]哈尔滨医科大学附属第一医院胸外科,黑龙江哈尔滨150001

出　　处：《哈尔滨医科大学学报》2001年第4期290-291,共2页Journal of Harbin Medical University

摘　　要：目的　研究贲门失弛缓症的食管压力改变及经腹改良Heller手术的疗效。方法　应用SGY 3型多功能消化道检测仪对 9例贲门失弛缓症术前及其中的 7例术后进行食管压力测定 ,同时与 8例健康人对照。结果　贲门失弛症患者的食管体部静息压和下括约肌静息压分别为 8.72mmHg和 48.17mmHg,显著高于健康人的 1.18mmHg和 17.5 2mmHg。贲门失弛缓症患者手术前后食管体部均无原发性蠕动。结论　经腹改良Heller手术能有效缓解贲门失弛缓症的吞咽困难 。Objective To evaluate the manometric feature of achalasia and the result of improved Heller's operation through abdominal incision. Methods The esophageal pressure of 9 pre operational cases and 7 post operational cases in the same group of achalasia were tested by SGY 3 digestive tract motility measuring instrument.Eight healthy people were chosed as controls.Results The esophageal body pressure and lower esophageal sphincter pressure of the patients with achalasis were 8.72 mmHg and 48.17mmHg respectively, that was higher significantly than the 1.18 mmHg and 17.52 mmHg of healthy people. The esophageal body had not primary peristalsis in both pre and post-operational patients of achalasia.Conclusion The improved Heller's operation can relief the dysphagia of achalasia, but it can not recover the peristaltic function of esophagus.

关 键 词：食管压力 贲门失弛缓症 改良HELLER手术 食管测压 

分 类 号：R573.7[医药卫生—消化系统]