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目的:探讨上食管括约肌(UES)运动功能与癔球症的关系。方法:采用Polygraf HR~(TM)食管测压系统对22例癔球症患者进行UES运动功能测定,25例健康志愿者作为对照组。结果:癔球症组UES长度、静息压、松弛压及松弛率[(3.6±0.6)cm、(43.4±8.0)mm Hg(1mm Hg=0.133 kPa)、(0.3±0.8)mm Hg,100％]与对照组[(3.5±0.7)cm、(41.8±8.5)mm Hg、(0.45±0.9)mm Hg、100％]比较差异均无统计学意义(P>0.05)。咽与UES的协调性均较好。结论:癔球症患者的UES运动功能是正常的,UES功能状况可能与癔球症的发生无关。
Objective: To investigate the relationship between upper esophageal sphincter (UES) motor function and globus pallidus. Methods: Polygraf HR ~ (TM) esophageal manometry system was used to measure the motion of UES motor in 22 cases of globus. Fifteen healthy volunteers served as the control group. Results: The length of UES, resting pressure, relaxation pressure and relaxation rate of [(3.6 ± 0.6) cm, (43.4 ± 8.0) mm Hg and 0.3 ± 0.8 mm Hg, %] Compared with that in the control group [(3.5 ± 0.7) cm, (41.8 ± 8.5) mm Hg, (0.45 ± 0.9) mm Hg, 100%], respectively. Pharyngeal and UES coordination are better. CONCLUSIONS: The UES motor function in patients with globus pallidus is normal, and the functional status of UES may not be related to the occurrence of globus pallidus.