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目的：研究食管疾病患者食管动力改变。方法：共研究５９例食管疾病患者食管测压表现，另取１２例正常人作为对照。结果：３６例原发性食管运动障碍患者中，６例诊断为贲门失弛缓，表现为下食管括约肌压力（ＬＥＳＰ）升高，吞咽后松弛不全，２例自发同时性收缩明显增加、食管原发性蠕动消失，诊断为弥漫性食管痉挛；２８例诊断为非特异食管运动功能障碍，表现为多种食管动力异常。１０例食管癌及９例贲门癌患者，病灶局部均呈高压区，伴周围食管体部继发运动障碍。４例糖尿病患者食管测压见ＬＥＳＰ降低，食管体部蠕动幅度降低。结论：食管测压对诊断原发性与继发性食管运动障碍均有较大价值。
Objective: To study esophageal motility changes in patients with esophageal diseases. Methods: A total of 59 cases of esophageal disease esophageal manometry esophageal manometry performance, and another 12 cases of normal control. Results: Of the 36 patients with primary esophageal dyskinesia, 6 were diagnosed as achalasia, with elevated esophageal sphincter pressure (LESP), incomplete swallowing, and significant spontaneous simultaneous contractions in 2 patients. Esophageal primary Peristalsis disappeared, the diagnosis of diffuse esophageal spasm; 28 cases of non-specific esophageal motor dysfunction diagnosis, manifested as a variety of esophageal motility disorders. 10 cases of esophageal cancer and 9 cases of cardiac cancer patients, local lesions were high pressure area, accompanied by peripheral esophageal motility disorders. Esophageal manometry of 4 diabetic patients showed decreased LESP and decreased esophageal motility. Conclusion: Esophageal manometry has great value in the diagnosis of primary and secondary esophageal dyskinesia.