通过口腔内镜肌切除术是一种安全有效的治疗Zenker的分泌体:一个回顾性多中心研究研究
Marc A Ward1,2,3, Lucas Fair1,2,4, Jennifer Misenhimer1,2
1Department of Minimally Invasive Surgery, Baylor University Medical Center, Dallas, TX, USA.
概括
禅克器 (Zenker per-oral endoscopic myotomy,简称ZPOEM) 是对禅克器的一种安全有效的治疗方法.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 消化系统疾病 消化系统疾病
背景情况:
- 禅克的分流器 (ZD) 在治理吞困难方面提出了重大挑战.
- 对于ZD的传统治疗方法可能是侵入性的,并与并发症相关.
- 禅克口腔内镜肌切除术 (ZPOEM) 已经成为一种不那么侵入性的替代方案.
研究的目的:
- 评估ZPOEM在治疗Zenker的分歧管中的安全性和有效性.
- 为ZPOEM成果现有的有限文献做出贡献.
主要方法:
- 从2020年1月到2022年1月,对前性维护的数据库进行回顾性审查.
- 分析患者人口统计,临床数据 (手术前,手术后,手术内),不良事件和停留时间.
- 包括在两个机构接受ZPOEM的40名患者.
主要成果:
- 平均操作时间为54.7分钟,平均停留时间为1.1天.
- 报告了三个不良事件,只有一个与手术技术相关.
- 在手术后的1,6个月和12个月,功能性口服摄入量表 (FOIS) 和食障碍得分有显著改善.
结论:
- ZPOEM是一种安全且高效的治疗选择,用于管理Zenker的分流器.
- 该程序在缓解症状和改善功能方面显示了短期和中期的良好结果.
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