十二指肠球部溃疡病人幽门功能与胃液体排空的关系

The Pyloric Function of Patients with Duodenal Ulcer and Gastric Liquid Emptying

十二指肠球部溃疡病人胃排空加快已被证实,但其改变为原发或继发尚不明了。我们测定27例十二指肠球部溃疡病人胃液体排空功能,包括12例幽门功能正常病人和15例幽门功能异常病人。结果示幽门功能正常和健康成人胃排空无差异,而幽门异常病人药物高峰平均时间为23±12.08分钟,较对照组34.62±9.09分钟明显加快。我们的结论是胃排空加快与幽门功能有关,这种变化是继发性的。

The finding of rapid gastric emptying in duodenal ulcer has confirmed. How- ever, it is controversy that the disorder of gastric emptying is pathogenetic or secondary change. Using absorption test, we measure the gastric liquid emptying in patients with duodenal ulcer (DU), induding 12 cases with pyloric normals and 15 cases with abnormals. The results show there are no significant difference in gastric emptying between pyloric normal on DU cas- es and healthy adults. Mean time to reach peak concentration is 34.62±9.09 mins in con- trols and 23±12.08 mins in patients with pyloric abnormal. We conclude that the rapid gas- trjc emptying is related to pyloric function, and is secondary change after the patient has py- loric deformity.