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| 題 名 | Esophageal Manifestations in Patients with Progressive Systemic Sclerosis=漸進性全身性硬化症之食道症狀 |
|---|---|
| 作 者 | 黃敏雄; 徐中平; 乾光宇; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 21:1 1988.01[民77.01] |
| 頁 次 | 頁36-42 |
| 分類號 | 416.241 |
| 關鍵詞 | 漸進性全身性硬化症; 食道症狀; |
| 語 文 | 英文(English) |
| 中文摘要 | 使用食道動力檢查對二十三位漸進位全身性硬化症的病人作食道功能障礙顯現在臨床上症狀乏研討。我們發現決定吞嚥困難最主要的因素是食道與胃之間的壓力差。我們研究出一種簡單之記分法來評估那類之病患容易會有食道的症狀,利用此種記分法,如果分數等於或者超過七,那麼純大多數此類病人將會有吞嚥困難與胃食道逆流之現象。使用外科抗逆流手術對於這類高危險群之病患將會非常需要。 |
| 英文摘要 | Twenty-three patients with clinically-proved PSS were studied by esophageal manometry. The most important factor which determines dysphagia is duration of the disease. The most important factor determining G-E reflux is the pressure gradient between the lower esophageal sphincter and the stomach. A predisposing-factor scoring system was created to estimate which patient would have esophageal manifestations. With a score equal to or greater than seven, most patients will have dysphagia and/or gastroesophageal (G-E) reflux. Surgical intervention with anti-reflux procedures is mandatory for these high-risk patients. |
本系統中英文摘要資訊取自各篇刊載內容。