24小时胃食管动态双pH监测技术在新生儿胃食管反流相关疾病中的应用

发布时间：2018-05-31 16:56

本文选题：胃食管反流 + 小时食管动态pH监测技术　；参考：《中国实用儿科杂志》2017年05期

【摘要】：24小时食管动态p H监测技术是目前公认的胃食管反流诊断的金标准,临床上广为应用,但由于受到技术水平的限制,该技术具有一定的局限性,传统的单通道p H监测技术主要是针对病理性酸反流设计的,对酸反流的诊断比较准确,但是并不是所有的胃食管反流都是酸反流,还有可能是混合型反流或者碱反流,单通道p H监测对于后两者的诊断是不准确的,因此,具有一定的误诊率。24小时胃食管动态双p H监测技术恰恰解决了这一技术困扰,不仅可以诊断酸反流,还可以发现十二指肠胃反流,对混合型反流或者碱反流也具有重要的提示意义,显著提升了诊断准确率,现已广泛用于成人和年长儿胃食管反流相关疾病的诊断,但在新生儿疾病中的应用少见,由于新生儿的胃食管发育与年长儿不同,解剖结构具有鲜明的自身特点,该文仅对24小时胃食管动态双p H监测技术在新生儿疾病中的应用注意事项做一介绍。
[Abstract]:The 24 hour esophageal dynamic pH monitoring technique is the accepted gold standard for the diagnosis of gastroesophageal reflux. It is widely used in clinic, but it has some limitations due to the limitation of technical level. The traditional single-channel pH monitoring technique is mainly designed for pathological acid reflux, and the diagnosis of acid reflux is more accurate. But not all gastroesophageal reflux is acid reflux, but it may also be mixed reflux or alkali reflux. Single channel pH monitoring is not accurate for the diagnosis of the latter two. Therefore, with a certain misdiagnosis rate and 24 hours of gastroesophageal dynamic double pH monitoring, this technique can solve the problem of this technique, and can not only diagnose acid reflux, but also can be used to diagnose acid reflux. Duodenogastric reflux can also be found, which is also of great significance for mixed reflux or alkaline reflux, and has significantly improved the diagnostic accuracy. It has been widely used in the diagnosis of gastroesophageal reflux related diseases in adults and older children. However, the application in neonatal diseases is rare. Because the gastroesophageal development of newborns is different from that of older infants, the anatomical structure has its own distinctive characteristics. This article only introduces the application of 24-hour gastroesophageal dynamic double pH monitoring technique in neonatal diseases.
【作者单位】：中国医科大学附属盛京医院儿外科消化道功能检测室;
【分类号】：R446.1;R722.1

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