安徽医科大学学报2018，Vol.53Issue(1)：151-154,4.DOI:10.19405/j.cnki.issn1000-1492.2018.01.032
不同亚型贲门失弛缓症的食管动力学特点的研究
Research on esophageal motility characteristics between different subtypes of achalasia of cardia
摘要
Abstract
Objective To investigate the clinical characteristics of achalasia of cardia and discrepancies in esophageal motility characteristics between different subtypes of achalasia of cardia. Methods A total of 24 patients with achalasia of cardia were enrolled in this study and were classified into different subtypes by means of esophageal manometry, then observed the clinical characteristics of achalasia of cardia and compared parameters of esophageal manometry between different subtypes of achalasia of cardia. Results ① 24 patients suffered dysphagia, among which 13 patients(13/24, 54. 17％ ) suffered regurgitation, the clinical characteristic of regurgitation was commoner in type I achalasia of cardia (P =0. 015);② The result of esophageal manometry expressed that all of 24 patients showed esophageal synchronous peristalsis, lower esophageal sphincter remaining pressure rise and incomplete lower esophageal sphincter relaxation. Meanwhile, 5 patients(5/24, 20. 83％ ) showed lower esophageal sphincter resting pressure rise, and proximal esophageal pressure as well as distal esophageal pressure became higher in type II achalasia of cardia than type I (P ＜ 0. 05). Conclusion Different subtypes of achalasia of cardia show different clinical characteristics and esophageal motility characteristics. Patient who is suspicious of suffering from achalasia of cardia would better undergo esophageal manometry so as to make a definite diagnosis and confirm subtype, which is useful for making a good choice of treatment and forecasting prognosis.关键词
贲门失弛缓症/食管测压/食管动力学Key words
achalasia of cardia/esophageal manometry/esophageal motility分类
医药卫生引用本文复制引用
孙斌,刘德地,王亚雷,张磊..不同亚型贲门失弛缓症的食管动力学特点的研究[J].安徽医科大学学报,2018,53(1):151-154,4.基金项目
安徽省科技攻关计划项目(编号:1501ld04043) （编号:1501ld04043）
