Fisher A A, Karuna Iu V
Ter Arkh. 1988;60(2):36-42.
A study was made of the periodical motor activity (PMA) of the antral part of the stomach (APS) and duodenum (D) using a manometric system of 4 continuously perfused catheters in 96 patients with peptic ulcer, 20 patients with ulcer of the body of the stomach, 26--with chronic pancreatitis, and in 16 healthy controls. PMA was normal only in 14 patients (10%). Different PMA disorders were revealed: increased frequency, decreased frequency, change of the duration of some phases, the occurrence of the activity site more distally of APS or even D, loss of coordination of antroduodenal motor activity, a decrease in APS motor activity, disorganization of the 2nd phase, etc. Possible mechanisms of PMA disorders were discussed.
采用由4根连续灌注导管组成的测压系统,对96例消化性溃疡患者、20例胃体溃疡患者、26例慢性胰腺炎患者以及16名健康对照者的胃窦部(APS)和十二指肠(D)的周期性运动活性(PMA)进行了研究。仅14例患者(10%)的PMA正常。发现了不同的PMA紊乱情况:频率增加、频率降低、某些阶段持续时间改变、活性部位出现在胃窦部甚至十二指肠更远处、胃窦十二指肠运动活性协调性丧失、胃窦部运动活性降低、第二阶段紊乱等。并讨论了PMA紊乱的可能机制。