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24小时动态测压在诊断引起胸痛的食管运动障碍中的应用

24-hour ambulatory manometry in diagnosis of esophageal motor disorders causing chest pain.

作者信息

Maas L C, Gordon R K, Penner D, Barkel D, Gordon S, Linert D, Petty D

出版信息

South Med J. 1985 Jul;78(7):810-3. doi: 10.1097/00007611-198507000-00010.

DOI:10.1097/00007611-198507000-00010
PMID:4012376
Abstract

The clinical diagnosis of motor disorders of the esophagus leading to chest pain usually lacks documentation by manometry despite the use of sophisticated equipment as well as pharmacologic manipulation. We have developed an ambulatory manometry system that allows us to monitor motility in the esophagus on an outpatient basis for 24 hours. This method seems well tolerated, and tracings obtained are of excellent quality, allowing careful inspection and evaluation of details. Simultaneous 24-hour esophageal pH and surface ECG recordings were also obtained. We believe the technique, when perfected, will significantly enhance the understanding and documentation of the cause of chest pain in patients with motor dysfunction of the esophagus.

摘要

尽管使用了精密设备以及药物干预,但导致胸痛的食管运动障碍的临床诊断通常缺乏食管测压的记录。我们开发了一种动态测压系统,可让我们在门诊基础上对食管运动进行24小时监测。这种方法似乎耐受性良好,所获得的记录质量极佳,便于仔细检查和评估细节。同时还获得了24小时食管pH值和体表心电图记录。我们相信,该技术完善后将显著增进对食管运动功能障碍患者胸痛原因的理解和记录。

相似文献

1
24-hour ambulatory manometry in diagnosis of esophageal motor disorders causing chest pain.24小时动态测压在诊断引起胸痛的食管运动障碍中的应用
South Med J. 1985 Jul;78(7):810-3. doi: 10.1097/00007611-198507000-00010.
2
Chest pain--esophageal, cardiac, or both?胸痛——源于食管、心脏,还是两者皆有?
Am J Gastroenterol. 1985 May;80(5):320-4.
3
Esophageal motility disorders.食管动力障碍
Am J Med Sci. 1985 Aug;290(2):61-9. doi: 10.1097/00000441-198508000-00004.
4
Ambulatory esophageal manometry/pH-metry discriminates between patients with different esophageal symptoms.动态食管测压/食管pH监测可区分不同食管症状的患者。
Dig Dis Sci. 1996 Feb;41(2):357-64. doi: 10.1007/BF02093829.
5
[Esophageal spasm as a cause of retrosternal pain, diagnosed by means of 24-hour ambulatory manometry].
Ned Tijdschr Geneeskd. 1988 Feb 21;132(9):394-8.
6
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.
7
Ambulatory 24-hour esophageal manometry in the evaluation of esophageal motor disorders and noncardiac chest pain.动态24小时食管测压在评估食管运动障碍和非心源性胸痛中的应用。
Surgery. 1991 Oct;110(4):753-61; discussion 761-3.
8
Prospective manometric evaluation with pharmacologic provocation of patients with suspected esophageal motility dysfunction.对疑似食管动力障碍患者进行药物激发的前瞻性测压评估。
Gastroenterology. 1983 May;84(5 Pt 1):893-901.
9
Indications, technique, and clinical use of ambulatory 24-hour esophageal motility monitoring in a surgical practice.外科实践中动态24小时食管动力监测的适应症、技术及临床应用
Ann Surg. 1993 Feb;217(2):128-37. doi: 10.1097/00000658-199302000-00006.
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Transition from peristaltic esophageal contractions to diffuse esophageal spasm.从蠕动性食管收缩转变为弥漫性食管痉挛。
Arch Intern Med. 1986 Sep;146(9):1844-6.

引用本文的文献

1
The esophagus as a source of non-cardiac chest pain.作为非心源性胸痛来源的食管
Can Fam Physician. 1988 Mar;34:663-8.
2
How long should a long-term esophageal motility study be?长期食管动力研究应该持续多长时间?
Dig Dis Sci. 2001 Jun;46(6):1186-93. doi: 10.1023/a:1010694725096.
3
An evaluation of an ambulatory manometry system in assessment of antroduodenal motor activity.动态测压系统在评估胃窦十二指肠运动活性中的应用评价。
Dig Dis Sci. 1996 Aug;41(8):1531-7. doi: 10.1007/BF02087896.
4
Clinical use of ambulatory 24-hour esophageal motility monitoring in patients with primary esophageal motor disorders.
Dysphagia. 1993;8(2):105-11. doi: 10.1007/BF02266989.
5
Indications, technique, and clinical use of ambulatory 24-hour esophageal motility monitoring in a surgical practice.外科实践中动态24小时食管动力监测的适应症、技术及临床应用
Ann Surg. 1993 Feb;217(2):128-37. doi: 10.1097/00000658-199302000-00006.
6
24 hour ambulatory oesophageal motility monitoring: how should motility data be analysed?24小时动态食管动力监测:动力数据应如何分析?
Gut. 1989 Aug;30(8):1040-7. doi: 10.1136/gut.30.8.1040.