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引用次数: 0

摘要

目的分析食道测压的转诊方式、适应证及结果。方法回顾性分析2013年1月至2015年6月连续行食管测压术患者的测压记录。结果按照芝加哥分类v.3.0进行解释。将数据输入到Microsoft excel表格中,并使用必要的测试进行分析。结果:研究组共220例患者,平均年龄45岁,男女比例7:4。压力计评估指征包括吞咽困难(87例,39.54%)、胃食管反流(76例,34.54%)、非心源性胸痛(25例,11.36%)、消化不良(20例,9.09%)和手术前(12例,5.45%)。39.1%的患者可诊断为明确的运动障碍,29%的患者运动功能低下或经常蠕动失败。36%的患者研究正常。结论食道压力测量主要用于吞咽困难和反流症状。主要的转诊是来自同事胃肠病学家和外科医生。39%的病例可以得到明确的诊断。贲门失弛缓是运动性吞咽困难的最常见原因。
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Short Communication
Aim of the studyTo analyze the referral pattern, indications and results of esophageal manometry in our setting. MethodsIn this retrospective study, manometry records of all consecutive patients who underwent esophageal manometry from January 2013 to June 2015 were analyzed. The results were interpreted as per Chicago classification v.3.0. The data was entered in Microsoft excel sheet and analyzed using necessary tests. Results-A total of 220 patients with a mean age of 45 years and male to female ratio of 7:4 formed the study group. The indications for manometric evaluation includeddysphagia (87,39.54%), gastroesophageal reflux(76,34.54%) , non-cardiac chest pain(25,11.36%), dyspepsia(20,9.09%) and prior to fundoplication surgery(12,5.45%). , 39.1% patients could be diagnosed with a definitive motility disorder while 29% had ineffective motility or frequently failed peristalsis. 36% patients had a normal study. ConclusionsEsophageal manometry in our setting is done mainly for dysphagia and reflux symptoms. The main referrals are from fellow gastroenterologists and surgeons. In 39% of cases, a definite diagnosis is possible. Achalsiacardia is the most common cause of motor dysphagia.
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