Ackermann C, Rothenbühler J M, Martinoli S, Muller C
Allgemeinchirurgische Klinik, Departement Chirurgie, Kantonsspital Basel.
Schweiz Med Wochenschr. 1991 May 25;121(21):797-800.
We analysed the esophageal manometry of 36 patients before, and of 25 patients 1 to 14 years (5.8 years) after, fundoplication. The results were compared with the findings in 30 asymptomatic volunteers. Fundoplication raised the mean lower esophageal sphincter pressure from 6.2 mm Hg to 14.5 mm Hg, i.e. normal values (controls 20.2 mm Hg). The shortened lower esophageal sphincter length and its intraabdominal segment were overcorrected (increase from 3.2 to 5.2 cm [controls 4.1 cm] and 1.3 to 2.6 cm [controls 2.1 cm] respectively). The rate of non-specific motility disorders after fundoplication was reduced from 61% to 28% (controls 7%). A clear relationship between the success of fundoplication and either preoperative or postoperative manometric results could not be established.
我们分析了36例患者在进行胃底折叠术之前以及25例患者在胃底折叠术后1至14年（平均5.8年）的食管测压结果。并将结果与30名无症状志愿者的检查结果进行比较。胃底折叠术使食管下括约肌平均压力从6.2毫米汞柱升至14.5毫米汞柱，即达到正常数值（对照组为20.2毫米汞柱）。食管下括约肌缩短的长度及其腹内段均得到过度矫正（分别从3.2厘米增至5.2厘米[对照组为4.1厘米]以及从1.3厘米增至2.6厘米[对照组为2.1厘米]）。胃底折叠术后非特异性运动障碍的发生率从61%降至28%（对照组为7%）。胃底折叠术的成功与术前或术后测压结果之间未发现明确关联。
