探讨高分辨率食管测压检查（HRM）在经口内镜下贲门缩窄术(PECC)治疗胃食管反流病(GERD)疗效分析中的价值。

回顾分析2022年1月至2023年12月在新昌县人民医院接受PECC的61例GERD患者的临床资料，统计分析内镜下Hill分级、HRM检查及患者焦虑自评量表（SAS）、抑郁自评量表（SDS）评分与PECC术治疗GERD疗效满意度的相关性。

Hill分级为Ⅰ~Ⅲ级患者的Hill分级情况、食管下括约肌长度、食管下括约肌压力与治疗满意度无相关性(P>0.05)，食管体部蠕动功能及SAS、SDS评分与治疗满意度具有相关性（P<0.05）。SAS、SDS评分正常的患者食管体部蠕动功能与治疗满意度具有相关性(P<0.05)，而SAS和(或)SDS评分异常的患者食管体部蠕动功能与治疗满意度无相关性(P>0.05)。

Hill分级为I~III级是PECC术治疗GERD的适应证之一，患者食管体部蠕动功能和精神心理因素是PECC术治疗GERD疗效的重要影响因素，HRM检查在PECC术前评估和术后疗效分析中具有重要的意义。

Exploring the value of high-resolution esophageal manometry(HRM) in analyzing the therapeutic effect of peroral endoscopic cardiac constriction(PECC) on gastroesophageal reflux disease(GERD).

Clinic data of sixty one patients with GERD who received PECC at the People's Hostital of Xinchang were retrospectively studied form January 2022 to December 2023. Analysis the correlation between endoscopic Hill grading, HRMexamination,patient self-rating anxiety scale (SAS) and self-rating depression scale(SDS)scores with the satisfaction of PECC on GERD.

There was no correlation (P>0.05) between the Hill grading, length of the lower esophageal sphincter, and pressure of the lower esophageal sphincter with the satisfaction in patients with Hill grading of Ⅰ-Ⅲ. However, there was a correlation (P<0.05) between esophageal peristalsis function, SAS and SDS scores with the satisfaction. Patients with normal SAS and SDS scores have a correlation between esophageal body peristalsis function with the satisfaction (P<0.05), while patients with abnormal SAS and/or SDS scores have no correlation between esophageal body peristalsis function with the satisfaction (P>0.05).

Hill grading of I-III is one of the indications for PECC on GERD. Esophageal peristalsis function and psychological factors are important influencing factors for the efficacy of PECC on GERD. HRM examination plays a significant role in preoperative evaluation and postoperative efficacy analysis of PECC.