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正常受试者食管测压与放射性核素食管通过情况的相关性

Correlation of esophageal manometry and radionuclide esophageal transit in normal subjects.

作者信息

Chang F Y, Lee C T, Yeh C L, Lee S D, Chu L S

机构信息

Division of Gastroenterology, Veterans General Hospital-Taipei, Taiwan, Republic of China.

出版信息

Chin J Physiol. 1995;38(1):43-6.

PMID:8549235
Abstract

What was the correlation of esophageal manometry and scintigraphy in Chinese was studied. Thirty-two volunteers (M/F: 18/14, age: 20-57) without evident esophageal motor disturbance and chest deformity underwent manometric measurement in the spine position using a low compliance pneumohydraulic infusion system. These measurements included the location of both upper and lower esophageal sphincter from nostril, and dry or wet swallow elicited peristaltic speed in the lower esophageal segment. Within one week after manometry, they swallowed a technetium-99m colloid bolus to measure radionuclide manifested esophageal transit time in the supine position beneath a gamma-camera. Body heights of enrolled subjects exhibited a significant positive correlation (r = 0.458, p < 0.01) with manometry measured esophageal lengths. Mean radionuclide esophageal transit time was 7.61 +/- 2.51 sec (3.1-13.57 sec). These transit times exhibited a positive correlation with esophageal lengths (r = 0.6, p < 0.001). Radionuclide transit speed was actually slower than either dry swallow or wet swallow elicited speed (p < 0.05). In conclusion, either manometry or scintigraphy manifests their specific benefits to diagnose esophageal motility disorders. Some correlations of measured variables can be obtained if they are simultaneously employed.

摘要

研究了食管测压与闪烁扫描在中国人群中的相关性。32名无明显食管运动障碍和胸部畸形的志愿者(男/女:18/14,年龄:20 - 57岁),使用低顺应性气液压灌注系统在脊柱位进行测压测量。这些测量包括从鼻孔测量食管上、下括约肌的位置,以及干吞或湿吞引发的食管下段蠕动速度。在测压后一周内,他们吞咽了一次锝-99m胶体团块,以在γ相机下测量仰卧位时放射性核素显示的食管通过时间。入选受试者的身高与测压测量的食管长度呈显著正相关(r = 0.458,p < 0.01)。放射性核素食管平均通过时间为7.61±2.51秒(3.1 - 13.57秒)。这些通过时间与食管长度呈正相关(r = 0.6,p < 0.001)。放射性核素通过速度实际上比干吞或湿吞引发的速度慢(p < 0.05)。总之,食管测压和闪烁扫描在诊断食管动力障碍方面都有其特定优势。如果同时使用,可获得一些测量变量之间的相关性。

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