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中华胃肠内镜电子杂志 ›› 2023, Vol. 10 ›› Issue (02) : 125 -130. doi: 10.3877/cma.j.issn.2095-7157.2023.02.009

综述

胃食管阀瓣的Hill分级在胃食管反流病中的应用价值
王擎, 王冠峰, 陈星()   
  1. 030000 太原,山西医科大学研究生院
    037000 山西,大同大学医学院附属肿瘤医院
    030001 太原,山西医科大学第一附属医院
  • 收稿日期:2023-01-13 出版日期:2023-05-15
  • 通信作者: 陈星
  • 基金资助:
    山西省重点研发计划项目(201903D321140)

The value of Hill classification of gastroesophageal flap valve in gastroesophageal reflux disease

Qing Wang, Guanfeng Wang, Xing Chen()   

  1. Shanxi Medical University, Taiyuan 030000, China
    Department of Gastroenterology, Shanxi Datong University Affiliated Cancer Hospital, Datong 037000, China
    Department of Gastrointestinal Surgery, The First Affiliated Hospital of Shanxi Medical University, Taiyuan 030001, China
  • Received:2023-01-13 Published:2023-05-15
  • Corresponding author: Xing Chen
引用本文:

王擎, 王冠峰, 陈星. 胃食管阀瓣的Hill分级在胃食管反流病中的应用价值[J]. 中华胃肠内镜电子杂志, 2023, 10(02): 125-130.

Qing Wang, Guanfeng Wang, Xing Chen. The value of Hill classification of gastroesophageal flap valve in gastroesophageal reflux disease[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2023, 10(02): 125-130.

胃食管阀瓣与胃食管反流病息息相关,Hill分级是依据胃食管阀瓣的不同形态制定的分级标准。本文旨在对Hill分级的相关文献进行综述,从患者临床特征、相关疾病、客观检查和治疗方式评估该分级在胃食管反流病相关工作中的应用价值。

Gastroesophageal flap valve is closely related to gastroesophageal reflux disease. The Hill classification is a standard based on the different forms of gastroesophageal flap valve. This study aims to summarize the relevant literature of Hill classification, and evaluate the application value of it from the clinical characteristics, related diseases, objective examination and treatment methods of patients.

图1 胃食管阀瓣的四个等级注:A:Ⅰ级黏膜皱襞紧贴内镜;B:Ⅱ级皱襞状态不如Ⅰ级明显,但随呼吸存在周期性开合仍能严密贴合内镜;C:Ⅲ级皱襞不明显,皱襞不能严密贴合内镜;D:Ⅳ级无皱襞,贲门区域开放,可见食管鳞状上皮
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