良性上消化道疾病的食管动力学变化

• 作 者: 张法灿 梁列新 蔡联英
• 机 构: 广西壮族自治区人民医院消化内科!南宁530021,广西壮族自治区人民医院消化内科!南宁530021,广西壮族自治区人民医院消化内科!南宁530021
• 出 处: 广西医科大学学报
• 发表日期: 2000年04期
• 关键词: 上消化道疾病 食管 食管动力 测压 食管测压检查 正常蠕动 反流性食管炎 动力学 平均收缩压 反流物

目的 :探讨良性上消化道疾病患者食管动力学的变化情况。方法 :对 32例良性上消化道疾病患者进行食管测压检查。结果 :34 .38%的病例 L ESP减低 ,87.5 %出现吞咽后同步收缩 ,5 3.13%出现自发性同步收缩 ,2 8.13%正常蠕动收缩完全消失 ,5 0 %出现远端食管平均收缩压力减低 ,5 6 .2 5 %出现远端食管低压收缩。结论 :本组病例多有远端食管运动功能障碍 ,以吞咽后同步收缩为主 ,其与反流性食管炎以及一些临床症状的发生有关。

Objective: To investigate the changes of esophageal motility in patients with benign upper gastrointestinal diseases. Methods: Esophageal manometry was performed in 32 patients with benign upper gastrointestinal diseases. Results: L ESP decreased in 34.38% of cases, synchronized systole after swallowing in 87.5%, spontaneous systolic in 5 3.13%, disappeared completely in 8.13% of normal peristalsis, decreased average systolic pressure in 50% 5 6 .2 5% distal esophageal low pressure constriction. Conclusion: There are many distal esophageal motility disorders in this group of patients, which are mainly synchronic contraction after swallowing, which is related to the occurrence of reflux esophagitis and some clinical symptoms.