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功能性消化不良患者中高分辨率食道力测的作用:一项前性观察性研究
Dakshayani S Nirhale1, Parin Nilesh Patel1, Amol S Dahale2
1Department of General Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune, Maharashtra, India.
Annals of African medicine
|January 22, 2026
概括
高分辨率食道测量 (HRM) 在正常内镜的功能性消化不良 (FD) 患者中的一半中发现了食道运动异常. 这表明动力障碍可能会导致持续的症状,支持HRM.
科学领域:
- 胃肠病学 胃肠病学
- 消化系统生理学 消化系统生理学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 功能性消化不良 (FD) 是一种常见的胃肠道疾病,原因不明.
- 标准的诊断方法往往错过了FD患者的食道运动问题的基础.
研究的目的:
- 评估高分辨率食道测量仪 (HRM) 对诊断FD患者食道运动障碍的有用性.
- 为了改善管理,将HRM发现与临床症状相关联.
主要方法:
- 对30名成年FD患者进行前性观察性研究,上部肠道内镜正常.
- 患者在标准医学治疗和H. pylori根除后接受HRM.
- 分析了对食道运动异常和与症状呈现相关的HRM结果.
主要成果:
- 一半的FD患者 (50%) 在HRM上表现出异常的食道运动.
- 高血压的上食道关节和低幅度的收缩是最常见的发现.
- 人力资源管理结果指导治疗,其中60%接受手术,40%接受保守管理.
结论:
- 高分辨率食道测量仪 (HRM) 对于检测FD患者的食道动力障碍非常有价值.
- 消化管动力障碍可能是FD患者显著部分持续症状的可能原因.
- 建议将HRM整合到耐火FD的诊断途径中.
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