CAJ | 학술논문

目的探讨食管高分辨率测压、24 h食管pH值监测诊断内镜阴性食管源性胸痛的价值.方法选择2012年10月至2013年10月231例非心源性胸痛患者,监测其食管测压及24h食管pH值.结果食管测压及监测结果显示,无异常者131例(56.7％),异常者100例(43.3％).异常者中男51例,女49例,年龄20～ 70岁,平均年龄(55.1±10.9)岁.异常者中20例胡桃夹食管(20％),6例弥漫性食管痉挛(6％),5例贲门失弛缓症(5％),30例非特异性食管运动功能障碍(30％),32例胃食管反流病(32％),7例酸敏感食管(7％).结论 24 h食管pH监测对发现诊断食管源性胸痛作用显著,内镜阴性食管源性胸痛以胃食管反流病引起的最多.
목적 탐토식관고분변솔측압、24 h식관pH치감측진단내경음성식관원성흉통적개치.방법 선택2012년10월지2013년10월231례비심원성흉통환자,감측기식관측압급24h식관pH치.결과 식관측압급감측결과현시,무이상자131례(56.7％),이상자100례(43.3％).이상자중남51례,녀49례,년령20～ 70세,평균년령(55.1±10.9)세.이상자중20례호도협식관(20％),6례미만성식관경련(6％),5례분문실이완증(5％),30례비특이성식관운동공능장애(30％),32례위식관반류병(32％),7례산민감식관(7％).결론 24 h식관pH감측대발현진단식관원성흉통작용현저,내경음성식관원성흉통이위식관반류병인기적최다.
Objective To study the value explore of endoscopic esophagus negative esophageal source chest pain by high resolution pressure and 24 h esophageal pH monitoring diagnostic.Methods 231 cases with non cardiac chest pain were chosen between October 2012 to October 2013,and monitored the esophageal pressure and 24 h esophageal pH value.Results The results showed that there was no abnormality in 131 cases(56.7％),and abnormalities were found in 100 cases(43.3％),51 cases of male and 49 cases of female,average age was(55.1 ± 10.9) years.Nutcracker esophagus were 20 cases(20％),6 cases of diffuse esophageal spasm(6％),5 cases were cardiac relaxation loss(5％),30 cases were nonspecific esophageal motor dysfunction(30％),32 cases were gastroesophageal reflux disease(32％),7 cases were diagnosed as sensitive esophageal acid(7％).Conclusion 24 h esophageal pH monitoring has significantly effect on the diagnosis of esophageal source of chest pain,and negative esophageal source chest pain caused by gastroesophageal reflux disease is the most.