食管动力性疾病的内镜诊治

食管动力性疾病包括贲门失弛缓症和胃食管反流病．是临床上常见的一组疾病．严重影响患者的生活质量。虽然食管测压为食管动力性疾病诊断的金标准,但消化内镜在该类疾病的诊断中发挥着重要作用。随着光学和机械学的革新．内镜器械得到了迅猛发展．目前已发展成为兼具治疗的检查手段。本文结合国内外最新研究进展．就近年来发展的内镜下黏膜切除术、内镜下黏膜下层剥离术和经口内镜下肌切开术等技术对食管动力性疾病的临床应用价值进行阐述。

Endoscopy in the diagnosis and management of esophageal motility disorders

With the development of optics and mechanics, endoscopic technologies are not only used as a simple diagnostic method, but also applied in therapy. Since the beginning of the 21st century, minimally invasive medicine has become the development trend. Many novel technologies have appeared, such as endoscopic mucosal resection, endoscopic submucosal dissection, and peroral endoscopic myotomy. Esophageal motility disorders are common diseases in clinic, which seriously affect the quality of life. Although esophageal manometry is the golden diagnostic standard, endoscopy also plays an important role in diagnosis. There are many therapeutic methods in achalasia and gastroesophageal reflux diseases with good efficacy, while the therapy in other esophageal motility disorders remains in dispute. According to the domestic and foreign research progressions, we introduce the role of endoscopy in the diagnosis and management of esophageal motility disorders.