胃镜下胃食管反流病评估新方法-食管裂孔横径法

表2 胃食管阀瓣Hill分级与食管裂孔横径分级高分辨率测压各参数对比

因素	Hill阀瓣分级a(n = 151)	食管裂孔横径分级b(n = 194)	统计量	P值
食管长度
Ⅰ级	25.08±1.96	25.01±1.87	t = 0.088	0.931
Ⅱ级	24.9±2.56	25.09±2.29	t = -0.407	0.684
Ⅲ级	24.03±2.17	24.09±2.32	t = -0.200	0.842
Ⅳ级	21.97±0.1	22.38±2.62	t = -0.265	0.795
LES长度
Ⅰ级	3.31±0.63	3.24±0.59	t = 0.263	0.795
Ⅱ级	3.17±0.61	3.08±0.67	t = 0.702	0.484
Ⅲ级	2.87±0.64	2.83±0.64	t = 0.284	0.777
Ⅳ级	2.6±0.2	2.79±0.56	t = -0.573	0.576
腹腔LES长度(cm)
Ⅰ级	1.65±0.72	1.67±0.7	t = -0.055	0. 957
Ⅱ级	1.17±0.77	1.14±0.85	t = 0.164	0.870
Ⅲ级	0.35(0-1.58)	0.5(0-1.5)	Z = -0.091	0.927
Ⅳ级	0(0-)	0(0-1.9)	Z = -0.354	0.723
LES静息压呼吸最小值(mmHg)
Ⅰ级	13.54±10.47	14.75±9.98	t = -0.277	0. 785
Ⅱ级	11.1±9.82	11.14±10.59	t = -0.015	0. 988
Ⅲ级	6.25(2.03-12.5)	7.59±7.57	Z = -0.544	0.587
Ⅳ级	5.8±5.51	3.7(0.35-12.35)	Z = -0.068	0.946
LES静息压呼吸平均值(mmHg)
Ⅰ级	21.29±11.91	23.22±11.72	t = -0.381	0. 707
Ⅱ级	18.12±10.72	17.55±11.67	t = 0.261	0. 795
Ⅲ级	11.82±7.92	11.94±7.86	t = -0.105	0.916
Ⅳ级	6.27±1.19	6.69±5.52	t = -0.129	0.899

LES: 下食管括约肌. a: 胃食管阀瓣分级; b: 食管裂孔横径分级; 食管长度: F^a = 2.938,

^aP = 0.035, F^b = 6.072,

^bP = 0.001; LES长度: F^a = 3.824, ^aP = 0.011, F^b = 3.124, ^bP = 0.027; 腹腔LES长度: χ^2a = 12.563, ^aP = 0.006, χ^2b = 17.742, ^bP = 0.000; LES静息压呼吸最小值(mmHg): χ^2a = 8.643, ^aP = 0.034, χ^2b = 10.675, ^bP = 0.014; LES静息压呼吸平均值: F^a = 7.731, ^aP = 0.000, F^b = 11.117, ^bP = 0.000.