Hypertensive peristalsis in the pathogenesis of chest pain: further exploration of the "nutcracker" esophagus.
Hypertensive peristalsis in the pathogenesis of chest pain: further exploration of the "nutcracker" esophagus.
复制标题
高血压蠕动在胸痛发病机制中的作用：“胡桃夹”食管的进一步探索。
DOI：
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发表时间：
1982
影响因子：
9.8
通讯作者：
M. Robinson
中科院分区：
文献类型：
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作者：
W. Orr;M. Robinson
最近描述的“胡桃夹食道”与高血压蠕动收缩和临床主诉胸痛和/或吞咽困难有关。这份报告描述了一组符合这种食道运动障碍的测压和临床标准的28名患者的经验，其中包括对近端和远端食道收缩的具体比较。患者组的平均下食道括约肌压力、最大蠕动压、平均蠕动压和收缩持续时间均显著升高。使用类似的径向换能器，患者远端食道蠕动收缩的幅度明显大于无症状对照组。患者和对照组之间在近端食道的蠕动没有显著差异。这些数据支持胡桃夹食道的存在是一种可识别的食道运动障碍，与对照组的食道蠕动参数有几个特定的差异。
The recently described "nutcracker esophagus" is associated with hypertensive peristaltic contractions and clinical complaints of chest pain and/or dysphagia. This report describes our experience with a group of 28 patients meeting the manometric and clinical criteria for this esophageal motor disorder, and it includes a specific comparison of contractions in the proximal and distal esophagus. Mean lower esophageal sphincter pressure, peak peristaltic pressures, mean peristaltic pressures, and contraction durations were all significantly elevated in the patient group. Using similarly radially oriented transducers, the amplitudes of peristaltic contractions in the distal esophagus were shown to be significantly greater in the patients than in an asymptomatic control group. No significant peristaltic differences were found between patients and controls in the proximal esophagus. These data support the existence of nutcracker esophagus as an identifiable esophageal motor disorder with several specific divergences from esophageal peristaltic parameters in controls.