胃食管反流病诊断方法的应用与选择

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中图分类号：R571 文献标志码：A 文章编号： 1000-5013（2025）06-0625-15

Abstract：By systematically reviewing the domestic and international literature inrecent years，the latest research progress on the clinical manifestations，epidemiological characteristics，diagnostic methods，and clinical diagnostic strategies of gastroesophageal reflux disease （GERD）are summarized. By combination with the core viewpoint of Lyon Consensus 2.Oand based on the characteristics of medical practicein China，the combination application strategy of various diagnostic technologies is further explored and optimized．The results show that the current diagnostic methods of GERD mainly include clinical diagnostic tests，esophageal reflux monitoring， esophageal manometry，gastroscopy，X-ray barium meal，contrast-enhanced ultrasound，etc..Each method has its unique clinical advantages and limitations. Due to the significant heterogeneity of clinical manifestations in GERD patients，differentiated examination plans will be selected based on individual characteristics.

Keywords：gastroesophageal reflux disease； non-erosive reflux disease；erosive reflux disease； Barrett esoph-agus；diagnostic methods

胃食管反流病（gastroesophageal reflux disease，GERD）是一种常见的消化系统疾病，其原因是胃内容物反流进入食管、咽喉和口腔，从而引起一系列不适的临床症状及食管黏膜损伤[1]。（剩余35170字）