咽异感症的高分辨率食管测压特点分析
发布时间:2018-03-06 08:54
本文选题:咽异感症 切入点:高分辨率食管测压 出处:《临床耳鼻咽喉头颈外科杂志》2015年17期 论文类型:期刊论文
【摘要】:目的:探讨咽异感症患者上食管括约肌(UES)、下食管括约肌(LES)的压力变化及食管动力学特点。方法:对44例咽异感症患者和23例正常人(正常对照组)分别进行高分辨率食管压力测定。根据RSI评分将44例咽异感症患者分为A组(无反流组,RSI13分,25例)和B组(反流组,RSI≥13分,19例)。结果:A、B组UES平均静息压及平均残余压力均高于正常对照组(P0.05);B组UES平均静息压及平均残余压力高于A组(P0.05);B组LES平均静息压及平均残余压力均低于A组及正常对照组(P0.05),A组与正常对照组间LES平均静息压及平均残余压力差异无统计学意义(P0.05)。B组食管远端收缩积分低于A组及正常对照组(P0.05),A组与正常对照组间食管远端收缩积分差异无统计学意义(P0.05)。结论:咽异感症患者咽异感症状与UES压力增高相关,反流组患者咽异感症状与LES低压和UES高压相关。反流组患者的食管末部动力障碍,其蠕动力度减弱,清除食团及胃内反流物的能力下降。
[Abstract]:Objective: to investigate the changes of pressure and esophageal dynamics in upper esophageal sphincter (UES) and lower esophageal sphincter (LES) in patients with pharynx allelopathy. Methods: 44 patients with pharynx heterosensitivity and 23 normal controls were treated with high scores. According to the RSI score, 44 patients with pharynx heterosensitivity were divided into two groups: group A (25 patients without reflux) and group B (19 patients with RSI 鈮,
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