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作者对35例(男34,女1,平均年龄67岁)有食管功能障碍症状而X线检查有自发、反复的非推进性食管收缩的患者作食管内镜及活检、食管内24小时持续pH监测及食管压力测定。X线检查,19例有轻度的非推进性收缩,即第三期收缩,6例为中度,呈“螺旋状食管”,而10例为严重,呈串珠状食管;14例有滑动性膈疝,全都有胃食管返流。据食管pH监测,膈疝的存在与胃食管返流无显著相关性。不过,X线检查示有返流的14例患者中,10例(71％)在持续pH监测时发现有胃食管返流。放射检查示,无一例患者呈现由食管炎或
The authors of esophageal endoscopy and biopsy of 35 patients (male 34, female 1, mean age 67 years) with symptoms of esophageal dysfunction who had spontaneous, repeated non-propulsive esophageal contractions by X-ray examination were maintained for 24 hours in the esophagus Monitoring and esophageal pressure measurement. X-ray examination, 19 cases of mild non-propulsive contraction, the third contraction, 6 cases were moderate, was “spiral esophagus”, and 10 cases were severe, beaded esophagus; 14 cases of gliding Diaphragmatic hernia, all with gastroesophageal reflux. According to esophageal pH monitoring, the presence of diaphragmatic hernia and gastroesophageal reflux had no significant correlation. However, of the 14 patients with reflux indicated by X-ray, 10 (71%) had gastroesophageal reflux during the continuous pH monitoring. Radiological examination showed that none of the patients presented with esophagitis or