Esophageal Motility and pH Monitoring of Infantile Gastroesophageal Reflux With or Without Siliding Hiatal Hernia
Author(s): LIN Ru, JIANG Mizu, HU Jin, ZHU Xiongkai, ZHANG Zewei
Pages: 138-140
Year: 1999 Issue: 3
Journal: CHINESE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
Keyword: 食管裂孔疝; 胃食管反流; 食管测压; 食管; pH监测;
Abstract: 目的:了解婴幼儿食管裂孔滑疝(SHH组)和单纯胃食管反流(GER组)的食管动力和pH特点.方法:对15例经钡餐造影(GI)和手术证实的SHH和13例单纯GER病儿进行了食管动力和24小时食管pH监测.结果:反流参数SHH组和GER组食管下段括约肌长度(LESL)[(1.31±0.31)cm对(1.90±0.46)cm]、压力(LESP)[(12.15±5.63)mm Hg对(23.85±7.50)mm Hg]、屏障压(BP)[(9.38±5.63)mm Hg对(22.20±7.50)mm Hg],SHH组均明显低于GER组(P＜0.01),而胃内压(GP)SHH组高于GER组[(2.18±0.68)mm Hg对(1.50±0.30)mm Hg],P＜0.01.两组均有病理性反流,SHH组反流参数除pH＜4反流次数外均高于GER组(P＜0.01).结论:SHH的食管抗反流功能比单纯GER病儿明显低下,反流更严重.临床应对GER病儿特别是可疑SHH者应定期进行食管动力和24小时食管pH监测.
Pages: 138-140
Year: 1999 Issue: 3
Journal: CHINESE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
Keyword: 食管裂孔疝; 胃食管反流; 食管测压; 食管; pH监测;
Abstract: 目的:了解婴幼儿食管裂孔滑疝(SHH组)和单纯胃食管反流(GER组)的食管动力和pH特点.方法:对15例经钡餐造影(GI)和手术证实的SHH和13例单纯GER病儿进行了食管动力和24小时食管pH监测.结果:反流参数SHH组和GER组食管下段括约肌长度(LESL)[(1.31±0.31)cm对(1.90±0.46)cm]、压力(LESP)[(12.15±5.63)mm Hg对(23.85±7.50)mm Hg]、屏障压(BP)[(9.38±5.63)mm Hg对(22.20±7.50)mm Hg],SHH组均明显低于GER组(P＜0.01),而胃内压(GP)SHH组高于GER组[(2.18±0.68)mm Hg对(1.50±0.30)mm Hg],P＜0.01.两组均有病理性反流,SHH组反流参数除pH＜4反流次数外均高于GER组(P＜0.01).结论:SHH的食管抗反流功能比单纯GER病儿明显低下,反流更严重.临床应对GER病儿特别是可疑SHH者应定期进行食管动力和24小时食管pH监测.
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