Dobrev D, Kornovski B, Shterev Sht
Vutr Boles. 1991;30(2):68-72.
Infusion manometry of the esophagus and the stomach after the permanent dynamic method of Winans [correction of Wynas] and Harris was carried out on 52 patients (30 women and 22 men) with hiatal hernia, volvulus of the stomach or peptic ulcer disease. Altogether 75 examinations were performed--35 preoperative and 40--postoperative. The mean preoperative pressure of the inferior esophageal sphincter was 9.1 (from 0 to 15) mmHg and the mean postoperative pressure was 18 (from 12 to 211 mmHg). The mean preoperative length of the inferior esophageal sphincter was 1.4 (from 0 to 4) cm and the mean postoperative length was 2.5 (from 1 to 6) cm. In 12 patients motor disturbances of the tubular esophagus were found: symmetric, hyperpersistaltic waves (Richter's nutcracker symptom)--in 3 patients, hypomotility--in 5 patients, diffuse esophageal spasm--in 4 patients. Esophageal manometry is a valuable noninvasive method for the functional diagnostic of the reflux disease and the motor esophageal disturbances as well as for the assessment of the postoperative function of the inferior esophageal sphincter.
采用Winans[纠正为Wynas]和Harris的永久性动态方法，对52例患有食管裂孔疝、胃扭转或消化性溃疡疾病的患者（30名女性和22名男性）进行了食管和胃的灌注测压。共进行了75次检查——35次术前检查和40次术后检查。术前食管下括约肌的平均压力为9.1（范围0至15）mmHg，术后平均压力为18（范围12至211）mmHg。术前食管下括约肌的平均长度为1.4（范围0至4）cm，术后平均长度为2.5（范围1至6）cm。在12例患者中发现了管状食管的运动障碍：对称的、高蠕动波（里氏胡桃夹症状）——3例患者，运动减弱——5例患者，弥漫性食管痉挛——4例患者。食管测压是一种有价值的非侵入性方法，可用于反流性疾病和食管运动障碍的功能诊断，以及评估食管下括约肌的术后功能。
