食管测压在贲门失弛缓症诊治中的应用及评价  

Evaluation of esophageal manometry indiagnosis and treatment of achalasia

作　　者：陈焰[1] 宋震亚[1] 唐训球[1] 钱可大[1] 杜勤[1] 

机构地区：[1]浙江大学医学院附属第二医院消化内科,杭州310009

出　　处：《中国实用内科杂志》2004年第4期229-230,共2页Chinese Journal of Practical Internal Medicine

摘　　要：目的　研究贲门失弛缓症患者的食管压力变化。方法　对 35例贲门失弛缓症患者与 30位正常对照的食管测压数据进行对比分析。结果　贲门失弛缓症组食管体部均为同步蠕动波 ,91 4 % (32 / 35 )为低幅同步收缩波 ;食管下括约肌松弛率 (LESRR)为 (6 9 1± 16 3) % ,明显低于正常对照的 (96 0± 0 1) % (P <0 0 1) ;食管下括约肌压增加 ;食管上括约肌各项指标与正常对照组比较无明显差别。结论　贲门失弛缓症的食管压力以低幅同步收缩波和LESRR增高为特征性表现。Objective To investigate the characteristics of manometry in achalasia.Methods The data of eesophageal manometry of 35 patients and 30 controls were studied.Results The motor pattern of esophageal body of achalasia was aperistalsis,with 91.4%(32/35)with low amplitude contraction wave.LESRR(lower esophageal sphincter relax rate) of achalasia accounted for(69.1±16.3)%,which was lower than that of controls (P<0.01);LESP(lower esophageal sphincter pressure) of achalasia was elevated and no abnormality of UES(upper esophageal sphincter) was detected.Conclusion The characteristics of esophageal manometry in achalasia is peristalsis with low amplitude contraction wave and elevated LESP.

关 键 词：食管测压 贲门失弛缓症 诊断 治疗 食管压力 

分 类 号：R571[医药卫生—消化系统]