McGouran R C, Galloway J M, Wells F C, Hendrie O R
Department of Gastroenterology, Queen Elizabeth Hospital, King's Lynn, Norfolk.
Gut. 1989 Oct;30(10):1309-12. doi: 10.1136/gut.30.10.1309.
Yield pressure at the cardia was measured before and after fundoplication in 10 patients; five had a Nissen fundoplication and five a Belsey mark IV procedure. Surgery was considered successful if oesophagitis healed or if 24 hour pH monitoring returned to normal. There was a marked rise in yield pressure in all eight patients with a successful operation. Yield pressure remained low in two patients in whom oesophagitis persisted.
对10例患者在胃底折叠术前后测量贲门处的屈服压力;其中5例行nissen胃底折叠术,5例行Belsey mark IV手术。如果食管炎愈合或24小时pH监测恢复正常,则认为手术成功。在所有8例手术成功的患者中,屈服压力显著升高。2例食管炎持续存在的患者屈服压力仍然较低。