Cook I J, Reddy S N, Collins S M, Daniel E E
Department of Medicine, McMaster University Medical Centre, Hamilton, Ontario, Canada.
Dig Dis Sci. 1988 Aug;33(8):999-1006. doi: 10.1007/BF01535997.
The extent to which the established variability in colonic motility recordings is due to differences in recording techniques is not known. The aim of this study was to compare the ability of two intraluminal recording devices (perfused tube and tube mounted strain gauge) to record colonic motor activity against a reference device (serosal strain gauge). In six anesthetized dogs an intracolonic probe was positioned such that the component perfused tubes and tube mounted strain gauges were approximated to identical strain gauges mounted on the serosa. Contractions were induced by field stimulation and intraarterial injections of acetylcholine and carbachol. While both intraluminal devices demonstrated limitations in the detection of phasic and tonic motor events, perfused tubes detected a significantly greater proportion of tonic and phasic contractions than did strain gauges (P less than 0.001). Intraluminal strain gauges misrepresented 50% of tonic contractions (confirmed visually and by serosal strain gauges) as waveforms with negative polarity. This was not seen in recordings from perfused tubes. Perfused tubes represented tonic contractions as biphasic or bifid waveforms significantly less frequently than strain gauges (P less than 0.05). Radial asymmetry of colonic contractions is likely to account for these observed discrepancies. Recorded motility patterns are influenced by different recording techniques, and these differences are a source of variability in recorded patterns of colonic motor activity.
目前尚不清楚结肠动力记录中已确定的变异性在多大程度上是由于记录技术的差异所致。本研究的目的是比较两种腔内记录装置(灌注管和安装有应变计的管)与一种参考装置(浆膜应变计)记录结肠运动活性的能力。在六只麻醉犬中,放置一个结肠内探头,使灌注管组件和安装有应变计的管接近安装在浆膜上的相同应变计。通过场刺激和动脉内注射乙酰胆碱和卡巴胆碱诱导收缩。虽然两种腔内装置在检测相位性和紧张性运动事件方面都显示出局限性,但灌注管检测到的紧张性和相位性收缩比例明显高于应变计(P小于0.001)。腔内应变计将50%的紧张性收缩(经视觉确认并由浆膜应变计证实)误表示为负极性波形。在灌注管的记录中未观察到这种情况。灌注管将紧张性收缩表示为双相或双歧波形的频率明显低于应变计(P小于0.05)。结肠收缩的径向不对称可能是这些观察到的差异的原因。记录的动力模式受不同记录技术的影响,这些差异是结肠运动活性记录模式变异性的一个来源。