儿童的三重内镜和复发性:一个单一的空气消化中心经验
Jennifer P Vu1, Deepak Jagannath1, David R Spielberg2
1Division of Otolaryngology, Department of Surgery, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin St, Houston, TX 77030, USA.
Auris, nasus, larynx
|August 7, 2023
概括
三重内镜是复发性 (RC) 的诊断工具. 虽然它揭示了呼吸道和胃肠道问题,但呈现症状并不能可靠地预测结果,这表明需要进一步研究以进行最佳的患者选择.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 儿科肺病学 儿科肺病学
- 儿科胃肠病学 儿科胃肠病学
背景情况:
- 儿童的复发性 (RC) 呈现出诊断上的挑战.
- 三重内镜,结合喉腔镜,支气管镜和食管胃管腺镜,用于评估复杂的儿科气道疾病.
研究的目的:
- 评估三重内镜在患有重复性的儿科患者的诊断效用.
- 为了确定内镜检测结果的预测因子,在儿童中复发性.
主要方法:
- 对儿科患者 (<18岁) 进行了回顾性图表审查,这些儿科患者患有复发性,在2010年至2021年期间接受了三重内镜检查.
- 收集的数据包括出现症状,呼吸道发现,支气管洗 (BAL) 结果,以及带有活检结果的食道胃管腺镜检查 (EGD).
主要成果:
- 42名患有复发性形的患者接受了三重内镜检查. 常见的症状包括慢性咳 (45%) 和胃肠道问题 (55%).
- 气道检测结果显示出气管 (19),喉裂口 (17),以及下喉狭窄症 (11). EGD显示异常粗 (6) 和显微 (18) 的发现,包括胃食道逆流和eosinophilic食道炎.
- 在40%的患者中,BAL培养物呈阳性. 没有患者病史因素预测了气道恶化,狭窄或EGD异常发现.
结论:
- 在空气消化中心评估的儿童中,出现症状可能与三重内镜显著发现无关.
- 需要进行进一步的研究,以确定患有重复性的特定儿科患者群体,这些儿童群体将从空气消化评估中获益最大.
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