对96例已排除心源性及食管器质性病变的胸痛患者,经食管测压、食管PH值监测和临床表现调查后,有50例(52.1%)诊断为食管源性胸痛,其中31例(62.0%)符合胃食管反流病(有15例合并食管运动异常),25例(50.0%)为非特异性食管运动障碍,4例(8.0%)为胡桃夹食管,3例(6.0%)为弥漫性食管痉挛,2例(4.0%)为贲门失弛缓症。提示食管运动障碍所致胸痛以胃食管反流病引起的最多,其临床表现与心源性胸痛相似,有时仅从症状上难以鉴别。 Of the 96 patients with chest pain who had been excluded from cardiogenic and esophageal organic lesions, esophageal chest pain was diagnosed in 50 patients (52.1%) after esophageal manometry, esophageal pH monitoring, and clinical manifestations. Of these, 31 (62.0%) were gastroesophageal reflux disease (15 cases with combined esophageal motility abnormalities), 25 cases (50.0%) were nonspecific esophageal dyskinesia, 4 cases (8.0% Diffuse esophageal spasm, 2 cases (4.0%) achalasia. Tip esophageal dyskinesia caused by chest pain with gastroesophageal reflux disease caused by the most, its clinical manifestations and cardiogenic chest pain similar, and sometimes only difficult to identify from the symptoms.