小肠压力测定用于胃肠动力障碍性疾病诊疗的初步研究

Preliminary study of small intestinal manometry on gastrointestinal motility disorders

目的研究小肠压力测定在胃肠道动力障碍性疾病患者诊疗中的应用价值。方法回顾性分析上海交通大学医学院附属第九人民医院2019年2月至2020年1月20例疑诊胃肠道动力障碍性疾病患者的临床资料,均行诊断性小肠压力测定,分析小肠压力测定对临床诊断和治疗决策的影响。结果纳入20例患者中,18例成功完成小肠压力测定。14例测压结果明显异常,9例经治疗有明显营养学改善,5例进行维持性营养支持治疗。10例患者小肠测压具有改变或明确诊断的意义,12例患者小肠测压结果影响了治疗方案。结论小肠压力测定结果明显影响患者的临床诊断和治疗决策,在胃肠道动力障碍性疾病的诊疗实践中具有重要价值。

Objective To investigate the significance of small intestinal manometry in clinical diagnosis and treatment of patients with gastrointestinal motility disorders.Methods The clinical data of 20 suspected patients with gastrointestinal motility disorders from February 2019 to January 2020 in Shanghai Jiaotong University Affiliated Ninth People's Hospital were retrospectively analyzed.All patients were performed small intestinal manometry,and the influence on diagnosis and treatment as well as the clinical value of this technique were analyzed.Results Among the 20 patients,18 patients successfully accepted small intestinal manometry.Among the 18 patients,14 patients showed significant motility abnormalities,among which 9 patients showed significant nutritional improvement after treatment and 5 patients were treated with maintaining nutritional support.In 10 patients,small intestinal manometry served as a deciding diagnostic tool,and in 12 patients,major modifications of treatment strategy were made according to results of small intestinal manometry.Conclusions The small intestinal manometry significantly improves diagnosis and treatment decision in the patients with gastrointestinal motility disorders and shows great value on the clinical practice on this group of patients.