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食管测压的效用与标准

Utility and standards in esophageal manometry.

作者信息

Katz Philip O, Menin Richard A, Gideon R Matthew

机构信息

Division of Gastroenterology, Albert Einstein Medical Center, Thomas Jefferson University, Philadelphia, PA 19141, USA.

出版信息

J Clin Gastroenterol. 2008 May-Jun;42(5):620-6. doi: 10.1097/MCG.0b013e3181653a5c.

DOI:10.1097/MCG.0b013e3181653a5c
PMID:18364580
Abstract

Esophageal manometry is a specialized procedure used to evaluate lower and upper esophageal sphincter pressure, esophageal body contraction amplitude, and peristaltic sequence. The procedure is clinically useful in evaluation of a patient with nonstructural dysphagia, unexplained or noncardiac chest pain, a compendium of symptoms suggested because of gastroesophageal reflux disease, and in the preoperative evaluation for antireflux surgery. Manometric findings in 95 normal subjects evenly distributed across age groups were reported in 1987, and are the values still used in our and most laboratories today. The subsequent review will offer our "view" on the clinical utility of esophageal manometry, on the basis of years of experience and performance techniques that have remained constant over decades.

摘要

食管测压是一种专门用于评估食管下括约肌和上括约肌压力、食管体部收缩幅度及蠕动顺序的检查方法。该检查在评估非结构性吞咽困难、不明原因或非心源性胸痛、因胃食管反流病而出现的一系列症状的患者,以及抗反流手术的术前评估中具有临床应用价值。1987年报告了95名年龄分布均匀的正常受试者的测压结果,这些值至今仍被我们实验室和大多数实验室所采用。后续综述将基于我们数十年保持不变的经验和操作技术,就食管测压的临床应用价值发表我们的“观点”。

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