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巨膀胱-小结肠-肠蠕动不良综合征一例的肠道动力测压研究

Manometric study on the intestinal motility in a case of megacystis-microcolon-intestinal hypoperistalsis syndrome.

作者信息

Tomomasa T, Itoh Z, Koizumi T, Kitamura T, Suzuki N, Matsuyama S, Kuroume T

出版信息

J Pediatr Gastroenterol Nutr. 1985 Apr;4(2):307-10. doi: 10.1097/00005176-198504000-00027.

Abstract

We report on the intestinal motility in a case of megacystis-microcolon-intestinal hypoperistalsis syndrome (MMIHS) based on a total registered time of 9.5 h by means of a manometric method we recently developed for neonates. The characteristics of this case are as follows: (a) the frequency of the contractions in the stomach and duodenum was significantly lower than that of healthy infants; and (b) bands of rhythmic contractions, resembling phase III activity of the interdigestive migrating contractions in adults, were recorded in the duodenum, but their occurrence was less frequent and the amplitude was significantly lower than that of healthy infants. The present study indicates that "hypoperistalsis" in MMIHS means not only the low frequency, but also the low amplitude, of the contractions in the alimentary tract.

摘要

我们通过最近为新生儿开发的测压方法,对一例巨膀胱-小结肠-肠蠕动功能不良综合征(MMIHS)患者进行了9.5小时的肠道蠕动监测。该病例的特点如下:(a)胃和十二指肠的收缩频率显著低于健康婴儿;(b)十二指肠记录到了类似成人消化间期移行性收缩Ⅲ期活动的节律性收缩带,但其出现频率较低,幅度也显著低于健康婴儿。本研究表明,MMIHS中的“蠕动功能不良”不仅意味着消化道收缩频率低,还意味着收缩幅度低。

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