Spigno L, Pandolfo N, Guiddo G, Calci G, Mattioli G, De Salvo L
Istituto di Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi di Genova.
Minerva Chir. 1991 Apr 15;46(7 Suppl):27-35.
Computerized analysis of esophageal manometry should consider the following objectives: a) objectivation of data acquisition; b) precision in calculating the various parameters; c) speed of analysis; d) an easy-to-read and promptly understandable graphic display of the manometric data; e) computation of new parameters capable of defining normal and pathologic function. It is with these objectives in mind that we launched our research project. Five normal subjects and 10 patients, of whom 5 presented esophageal achalasia and 5 gastroesophageal reflux disease, underwent computerized esophageal manometry and were evaluated on the basis of both traditional and innovative parameters, of our own inception. Among the various indexes tested, the "Esophageal transport" parameter, calculated as the ratio of momentum (dp*dT) over speed of propagation of the esophageal contractions, gave rise to particular interest. In our opinion, this parameter can be used as an index of the dynamic function of the organ.
a)数据采集的客观化;b)计算各种参数时的精确性;c)分析速度;d)测压数据的易读且能迅速理解的图形显示;e)计算能够定义正常和病理功能的新参数。正是出于这些目标,我们启动了我们的研究项目。五名正常受试者和十名患者接受了计算机化食管测压,其中五名患有食管失弛缓症,五名患有胃食管反流病,并根据我们自己提出的传统和创新参数进行了评估。在测试的各种指标中,“食管传输”参数(计算为动量(dp*dT)与食管收缩传播速度的比值)引起了特别关注。我们认为,该参数可作为该器官动态功能的指标。