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咽下困难是管腔狭窄所致的一种梗阻表现。然而偶而某些病员咽下困难严重却管腔宽大,或管腔狭细却很少诉说吞咽有问题。有人认为,无狭窄的返流性食管炎也可引起咽下困难。为此,为确定食管狭窄程度和食管炎两者对感受咽下困难影响进行了研究。方法:64例(平均年龄67岁)受试者均为良性消化性食管狭窄患者。根据食物硬度对咽下困难分九个项目进行评分。其中一半通过询问哪种食物可致咽下困难而获得,另一半根据标准试餐计分,两者总计最高分为90。吞钡腊小球检查时,以狭窄处能通过的小球体最大径为狭窄直径。内镜下俭查并记录狭窄段上方食管炎的严重度。结果:病人平均咽下困难分数为70.8分,狭窄直径平均为8.6 mm。两者呈明显线性相关(r=0.544,P=
Dysphagia is a manifestation of obstruction caused by stenosis. Occasionally, however, some patients with severe dysphagia but the lumen, or narrow stenosis but rarely tell swallowed a problem. Some people think that no narrow reflux esophagitis can cause swallowing difficulties. To this end, in order to determine the degree of esophageal stenosis and esophagitis on the feelings of dysphagia were studied. Methods: Sixty-four (mean age 67 years) subjects were all patients with benign digestive esophageal stenosis. According to the hardness of the food on the difficulty of swallowing nine items were scored. Half of them were obtained by asking what kind of food was causing dysphagia and the other half were scored according to a standard test meal, giving a combined maximum of 90. When examining barium wax pellets, the maximum diameter of the small sphere that can pass through the stenosis is the diameter of the stenosis. Endoscopic screening and recording the severity of esophagitis above the stenosis. Results: The average dysphagia score was 70.8 and the average diameter of stenosis was 8.6 mm. There was a clear linear correlation between them (r = 0.544, P =