DiMarino A J, Allen M L, Lynn R B, Zamani S
Division of Gastroenterology and Hepatology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pa., USA.
Dig Dis. 1998 Jul-Aug;16(4):198-204. doi: 10.1159/000016867.
Esophageal motility testing is the method of choice in evaluating esophageal motor disorders. Some physicians, however, question the clinical utility of esophageal motility testing, since the results are often normal in symptomatic patients. The clinical utility of esophageal motility testing is reviewed for patients with a complaint of noncardiac chest pain, dysphagia or symptoms of gastroesophageal reflux disease. Esophageal motility testing is particularly useful for evaluating patients with dysphagia, but less so for gastroesophageal reflux disease patients, and has little clinical utility in patients with noncardiac chest pain.
食管动力测试是评估食管运动障碍的首选方法。然而，一些医生质疑食管动力测试的临床实用性，因为有症状的患者其测试结果往往正常。本文对有非心源性胸痛、吞咽困难或胃食管反流病症状的患者的食管动力测试的临床实用性进行了综述。食管动力测试对评估吞咽困难患者特别有用，但对胃食管反流病患者的作用较小，对非心源性胸痛患者几乎没有临床实用性。
