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食管下括约肌长度测定的临床意义

Clinical study on measurement of length of lower esophageal sphincter

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【作者】 邹磊蒋绚赵景涛

【Author】 ZOU Lei, JIANG Xuan, ZHAO Jing Tao (Department of Gastroenterology, People’s Hospital, Beijing Medical University, Beijing 100044)

【机构】 北京医科大学人民医院消化内科

【摘要】 目的:明确食管及其下括约肌长度在胃食管反流疾病中的变化及临床意义。方法:用灌注式多导测压系统对正常组63例受试者及胃食管反流组53例病人进行食管压力测定。结果:正常人各年龄组食管下段括约肌长度差异无显著性;胃食管反流性疾病组食管下段括约肌长度及腹段下括约肌长度均显著下降;正常组与胃食管反流性疾病组身高与食管长度的相关系数分别为r1=0.700,r2=0.798。结论:食管下括约肌长度在抗反流中起到重要作用,其在正常人群中不随年龄而变化;胃食管反流性疾病患者未伴食管长度缩短、上提

【Abstract】 Objective: To investigate the changes of esophageal and lower esophageal sphincter length in gastroesophageal reflux disease (GERD). Methods: PC Polygraf system was used to measure esophageal intraluminal pressure on 63 normal cases and 53 GERD cases with four channel tube assembly. Results: In normal cases the length of lower esophageal sphincter in different age groups had no significant difference. In GERD group the length of lower esophageal sphincter and intra abdominal sphincter obviously decreased. The related coefficient between esophageal length and body length in normal and GERD groups was 0.700 and 0.798, respectively. Conclusion: The length of lower esophageal sphincter was important in anti reflux; it did not change with ages in normal group; GERD did not induce shortening of length of esophagus.

  • 【文献出处】 北京医科大学学报 ,JOURNAL OF BEIJING MEDICAL UNIVERSITY , 编辑部邮箱 ,1999年01期
  • 【分类号】R571
  • 【被引频次】17
  • 【下载频次】83
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