食管裂孔疝和食管炎患者食管对胃反流的反应。
Response of the gullet to gastric reflux in patients with hiatus hernia and oesophagitis.
作者信息
Woodward D A
出版信息
Thorax. 1970 Jul;25(4):459-64. doi: 10.1136/thx.25.4.459.
The variability of reflux symptoms in patients with hiatus hernia is well known, and a poor correlation between the symptoms of oesophagitis and appearances at oesophagoscopy has been noted. A study has been made of the relationship between four variables. These are the acid reflux occurring in the oesophagus, the peristaltic clearance, the oesophagitis present and the symptoms from which the patients are suffering. Symptoms were found only in patients with oesophageal H levels below 4. However, such acid levels could occur in the absence of significant symptoms and there was a poor correlation between symptoms and various levels of H below this. Poor motor function in the oesophagus was associated with poor clearance of acid from it. Patients with poor clearance show a greater tendency to have oesophagitis, but, despite this correlation, in the group as a whole, there was no clear relationship between the results of the tests and the severity of symptoms.
食管裂孔疝患者反流症状的变异性是众所周知的，并且食管炎症状与食管镜检查表现之间的相关性较差也已被注意到。对四个变量之间的关系进行了一项研究。这四个变量分别是食管中发生的酸反流、蠕动清除、存在的食管炎以及患者所遭受的症状。仅在食管H水平低于4的患者中发现症状。然而，在没有明显症状的情况下也可能出现这种酸水平，并且在低于此水平的不同H水平与症状之间的相关性较差。食管运动功能不良与酸从食管的清除不良有关。清除不良的患者患食管炎的倾向更大，但是，尽管存在这种相关性，但在整个组中，测试结果与症状严重程度之间没有明确的关系。
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