郭强 陈艳敏 龙毓灵 耿嘉蔚 唐晓丹 650032 云南省第一人民医院消化科 中华肝脏病杂志 1999 0 7 4


    关键词：食管静脉曲张 食管动力 套扎治疗 期刊 zhgzbzz 0 临床研究 fur -->


    

【摘要 】 目的 探讨肝硬化食管静脉曲张患者的食管动力及套扎治疗对其影响。 方法 对食管静脉曲张组套扎治疗前后及对照组进行食管测压和24小时pH监测。结果 食管静脉曲张患者远端食管的蠕动波幅(PA)、蠕动时间(PD)、蠕动的传导速度(PV)均明显异常，P值分别小于0.001、0.01、0.01，且与曲张程度相关。套扎治疗后PA及PV显著改善，P值均小于0.05，并同时有病理性酸反流存在，而治疗后酸反流亦明显改善。结论 静脉曲张患者存在有食管动力障碍和病理性酸反流，套扎治疗显著改善这些异常。

    

Study on esophagealmotility and its effect by EVL in patients with esophageal varices

GUO Qiang, CHEN Yanmin, LONG Yuling, et al.

    Department of Gastroenterology, Yunnan First Provincial People’s Hospital, Kunming 650032

【Abstract 】 Objective To investigate the esophageal motilityand its effect by EVL in patients with cirrhotic esophageal varices. Methods LESP, LESR, PA, PD, PV and 24h pH-monitoring were measured by PC Polygraf HR system insubjects of control and cases of esophageal varices before and after EVL. Results In varices group, PA. PD. and PV were significantly abnormal in comparison with those incontrol group (P<0.001, 0.01, 0.01). There werepathologic acid-reflux in patients with esophageal varices. After EVL, PA, PV andacid-reflux were significantly recovered. Conclusion Patients withesophageal varices suffer from the significant abnormal esophageal motility andacid-reflux. All of the abnormal changes can be recovered by EVL treatment.

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