高分辨率食管测压与食管24h pH监测在胃食管反流病中的应用价值

Application value of esophageal manometry and 24 hours esophageal pH monitoring in the surgical GERD

目的总结分析高分辨率食管测压联合食管24 h pH监测在外科诊断及治疗胃食管反流病中的应用价值。方法选取新疆维吾尔自治区人民医院2014年1月至12月期间收治的70例有胃食管反流病症状经临床检查拟诊为胃食管反流病的患者,行高分辨率食管测压、食管24 h pH监测。结果 70例患者中,确诊为胃食管反流病患者50例(71.4%),其中经高分辨率食管测压诊断有食管裂孔疝者32例(64%),无食管裂孔疝者18例(36%)。非胃食管反流病患者20例(28.6%),其中经高分辨率食管测压诊断有食管裂孔疝者4例(20%),无食管裂孔疝者16例(80%)。结论胃食管反流病患者中合并食管裂孔疝者居多,高分辨率食管测压与食管24 h pH监测对胃食管反流病患者的诊断和外科治疗术式的选择具有指导意义。

Objective To summarize the application value of the high resolution esophageal radiometry combined with esophageal 24 hours ph monitoring in the surgical diagnosis and treatment of GERD. Methods 70 cases who have been in xinjiang auto region people ＇s hospital during the period of January 2014 to December with symptoms of gastroesophageal reflux disease being suspected as gastroesophageal reflux disease by clinical examination took the inspection of high resolution esophageal manometry and esophageal 24 hours ph monitoring. Results In 70 cases,50 patients with GERD（ 71. 4）,in which 32 cases（ 64%） diagnosed as hiatal hernia by the high resolution esophageal manometry,18 cases（ 36%） without hiatal hernia. The other 20 cases（ 28. 6） wasn＇ t diagnosed as GERD,in which 4 cases（ 20%） diagnosed as hiatal hernia by the high esophageal manometry,16 cases（ 80%） without hiatal hernia.Conclusion Patients with GERD tend to have a hiatal hernia. High resolution esophageal manometry combined with esophageal 24 hours ph monitoring play a significant role in the diagnosis and the choice of surgical operation modus for the treatment of GERD.