摘要目的 探讨食管高分辨率测压、24 h食管pH值监测诊断内镜阴性食管源性胸痛的价值.方法 选择2012年10月至2013年10月231例非心源性胸痛患者,监测其食管测压及24h食管pH值.结果 食管测压及监测结果显示,无异常者131例(56.7％),异常者100例(43.3％).异常者中男51例,女49例,年龄20～ 70岁,平均年龄(55.1±10.9)岁.异常者中20例胡桃夹食管(20％),6例弥漫性食管痉挛(6％),5例贲门失弛缓症(5％),30例非特异性食管运动功能障碍(30％),32例胃食管反流病(32％),7例酸敏感食管(7％).结论 24 h食管pH监测对发现诊断食管源性胸痛作用显著,内镜阴性食管源性胸痛以胃食管反流病引起的最多.

abstractsObjective To study the value explore of endoscopic esophagus negative esophageal source chest pain by high resolution pressure and 24 h esophageal pH monitoring diagnostic.Methods 231 cases with non cardiac chest pain were chosen between October 2012 to October 2013,and monitored the esophageal pressure and 24 h esophageal pH value.Results The results showed that there was no abnormality in 131 cases(56.7％),and abnormalities were found in 100 cases(43.3％),51 cases of male and 49 cases of female,average age was(55.1 ± 10.9) years.Nutcracker esophagus were 20 cases(20％),6 cases of diffuse esophageal spasm(6％),5 cases were cardiac relaxation loss(5％),30 cases were nonspecific esophageal motor dysfunction(30％),32 cases were gastroesophageal reflux disease(32％),7 cases were diagnosed as sensitive esophageal acid(7％).Conclusion 24 h esophageal pH monitoring has significantly effect on the diagnosis of esophageal source of chest pain,and negative esophageal source chest pain caused by gastroesophageal reflux disease is the most.