非心源性胸痛的调查——哪种食管检查？
Investigation of non-cardiac chest pain--which oesophageal test?
作者信息
Lee R J, Collins B J, Spence R A, Crookes P F, Campbell N P, Adgey A A
出版信息
Ulster Med J. 1986 Apr;55(1):49-56.
Abstract
Five different tests were used to evaluate oesophageal function in 22 patients who presented to a cardiac unit with acute chest pain but whose cardiological investigations were negative. Eight patients had an abnormality on oesophagoscopy, 10 had an abnormal pH monitoring study, six had a positive acid infusion test, 10 had an abnormal manometric study and six had an abnormal oseophageal transit scintiscan. Concordance for the three tests of gastro-oesophageal reflux disease was low at 28%, and for the two tests of oesophageal motility only 55%. Only two patients had normal results in all five tests.
摘要
采用五种不同的检测方法对22例因急性胸痛就诊于心脏科但心脏检查结果为阴性的患者进行食管功能评估。8例患者食管镜检查异常，10例pH监测研究异常，6例酸灌注试验阳性，10例测压研究异常，6例食管通过闪烁扫描异常。胃食管反流病三项检测的一致性较低，为28%，食管动力两项检测的一致性仅为55%。只有2例患者五项检测结果均正常。
相似文献
1
Investigation of non-cardiac chest pain--which oesophageal test?非心源性胸痛的调查——哪种食管检查？
Ulster Med J. 1986 Apr;55(1):49-56.
2
The oesophagus as a cause of recurrent chest pain: which patients should be investigated and which tests should be used?
Lancet. 1985 Nov 23;2(8465):1143-6. doi: 10.1016/s0140-6736(85)92676-5.
3
Clinical applications of oesophageal motility studies?食管动力研究的临床应用？
Br J Hosp Med. 1984 Nov;32(5):267-71.
4
Ambulatory oesophageal manometry and pH monitoring for investigation of chest pain: a New Zealand experience.动态食管测压和pH监测用于胸痛调查：新西兰的经验。
N Z Med J. 2006 Mar 10;119(1230):U1877.
5
Oesophageal function in patients with angina pectoris: a comparison of patients with normal coronary angiograms and patients with coronary artery disease.心绞痛患者的食管功能：冠状动脉造影正常患者与冠状动脉疾病患者的比较
Digestion. 1989;42(2):70-8. doi: 10.1159/000199828.
6
[The value of ambulatory 24-hour esophageal manometry in the diagnosis of retrosternal pain of non-cardiac origin].[动态24小时食管测压在非心源性胸骨后疼痛诊断中的价值]
Ned Tijdschr Geneeskd. 1989 Oct 28;133(43):2124-9.
7
Provocation tests versus 24-h pH and pressure measurements.激发试验与24小时pH值及压力测量
Eur J Gastroenterol Hepatol. 1995 Dec;7(12):1141-6. doi: 10.1097/00042737-199512000-00003.
8
[pHmetry and manometry of the esophagus in patients with pain of the angina type and a normal angiography].[血管造影正常的心绞痛型疼痛患者食管的pH测量与测压]
Gastroenterol Clin Biol. 1988 Feb;12(2):111-7.
9
The solid bolus oesophageal egg transit test: its manometric interpretation and usefulness as a screening test.固体食团食管卵子转运试验：其测压解读及作为筛查试验的实用性。 （注：原文中“卵子”表述可能有误，正常该试验与卵子无关，推测可能是“食团”等，这里按原文准确翻译）
Br J Surg. 1987 Dec;74(12):1130-3. doi: 10.1002/bjs.1800741218.
10
Noncardiac chest pain: is the esophagus really a frequent source?非心源性胸痛：食管真的是常见病因吗？
Scand J Gastroenterol. 1990 Aug;25(8):793-8. doi: 10.3109/00365529008999217.
引用本文的文献
1
Oesophageal motility, luminal pH, and electrocardiographic-ST segment analysis during spontaneous episodes of angina like chest pain.在类似心绞痛的胸痛自发发作期间的食管动力、管腔pH值及心电图ST段分析。
Gut. 1992 Jan;33(1):79-86. doi: 10.1136/gut.33.1.79.
本文引用的文献
1
Differentiation of esophageal pain from angina pectoris: role of the esophageal acid perfusion test.食管疼痛与心绞痛的鉴别：食管酸灌注试验的作用
Medicine (Baltimore). 1962 May;41:143-62. doi: 10.1097/00005792-196205000-00002.
2
Unexplained chest pain in patients with normal coronary arteriograms: a follow-up study of functional status.冠状动脉造影正常患者的不明原因胸痛：功能状态的随访研究
N Engl J Med. 1980 Nov 27;303(22):1249-52. doi: 10.1056/NEJM198011273032201.
3
Provocation of esophageal pain by ergonovine or edrophonium.麦角新碱或依酚氯铵诱发食管疼痛
Gastroenterology. 1981 Jul;81(1):10-4.
4
Esophageal disease in patients with angina-like chest pain.伴有心绞痛样胸痛患者的食管疾病
Am J Gastroenterol. 1981 Feb;75(2):116-23.
5
Radionuclide transit: a sensitive screening test for esophageal dysfunction.放射性核素通过：一种用于食管功能障碍的敏感筛查试验。
Gastroenterology. 1981 May;80(5 pt 1):887-92.
6
Ambulatory monitoring of oesophageal pH in reflux oesophagitis using a portable radiotelemetry system.使用便携式无线电遥测系统对反流性食管炎患者进行食管pH值的动态监测。
Gut. 1982 Nov;23(11):992-8. doi: 10.1136/gut.23.11.992.
7
Esophageal function in patients with angina-type chest pain and normal coronary angiograms.心绞痛型胸痛且冠状动脉造影正常患者的食管功能
Ann Surg. 1982 Oct;196(4):488-98. doi: 10.1097/00000658-198210000-00013.
8
Diagnosis of oesophageal spasm by ergometrine provocation.通过麦角新碱激发试验诊断食管痉挛
Gut. 1982 Feb;23(2):89-97. doi: 10.1136/gut.23.2.89.
9
Radionuclide transit studies in the detection of oesophageal dysmotility.放射性核素通过时间研究在食管动力障碍检测中的应用
Gut. 1983 May;24(5):421-6. doi: 10.1136/gut.24.5.421.
10
Esophageal Manometry in Patients with Chest Pain and Normal Coronary Arteriogram.
Am J Gastroenterol. 1981 Feb;75(2):124-7.
Zotero 插件