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本文对56例具有不同程度胸痛、吞咽困难和其他食管症状的病人作食管运动功能检查(下称动力图)进行分析。根据动力图诊断标准,对大部分病例42/56分别作出贲门失弛缓症、弥漫性食道痉挛、非特异性食管运动功能障碍、下食管括约肌功能不全、结缔组织疾病等诊断。其中对贲门失弛缓症与临床诊断的符合率比较高,对一些原因不明的胸痛和吞咽困难,也提供了与食管动力异常有关的线索,说明食管动力检查是一项安全而有价值的客观检查方法,是诊断食管运动功能障碍疾病不可缺少的。
In this paper, 56 patients with varying degrees of chest pain, dysphagia and other esophageal symptoms in patients with esophageal motor function tests (hereinafter referred to as the dynamic diagram) were analyzed. According to the diagnostic criteria of the motility chart, diagnosis of achalasia of the cardia, diffuse esophageal spasm, nonspecific esophageal motility disorders, hypopharyngeal sphincter dysfunction and connective tissue diseases were performed on the majority of cases 42/56 respectively. Among them, the coincidence rate of achalasia and clinical diagnosis is high, and it also provides some clues related to esophageal motility abnormalities for some unexplained chest pains and dysphagia, which indicates that esophageal motility examination is a safe and valuable objective examination Method is an indispensable diagnosis of esophageal dysfunction disease.