胃食管反流病临床诊断方法的最新进展

摘要

Gastroesophageal reflux disease( GERD )is a common upper gastrointestinal disorder, the diagnosis methods for which include endoscopy,24 h esophageal pll monitoring, wireless esophageal pll monitoring, multichannel intraluminal impedance-pll( MH-pll ), proton pump inhibitor( PP1 ) therapeutic test and so on. However, there is no international unified standards so far, and the methods have advantages and disadvantages respectively, different subtypes of GERD have different best choice. In recent years, along with the deepening of studies on the pathophysiology of GERD, the clinical diagnosis methods also see some new developments.%胃食管反流病(GERD)是常见的上消化道疾病,其诊断方法包括内镜、24 h食管pH监测、无线pH监测系统、多通道腔内阻抗联合pH监测、质子泵抑制剂试验等.但目前国际上尚无明确的统一诊断标准,各诊断方法均有利弊,且不同类型的GERD在诊断方法的选择上也有差异.近年来,随着各研究对GERD发生、发展过程的不断深入,GERD的临床诊断方法也有新的进展.