对于Zenker's转体的内膜治疗 - 一项基于人口的观察性研究
Eirik Østensen Søfteland1, Anne Kristin Aasebøstøl2, Gjermund Johnsen1,3
1Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Scandinavian journal of gastroenterology
|September 20, 2023
概括
禅克的分离器治疗,包括内镜接和激光分离器切除术,是安全的,但具有显著的复发风险. 需要进一步的研究,以改善患有这种食道疾病的患者的长期结果.
科学领域:
- 胃肠病学 胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
背景情况:
- 禅克的分泌体是一个喉外囊,导致食障碍和吐.
- 挪威中部的治疗是集中的,使用内镜或激光分离器.
- 椎管的大小决定了圣奥拉夫斯医院的手术方法.
研究的目的:
- 为了比较内镜粘合剂与Zenker's转管激光转管切除术的安全性和有效性.
- 分析两种治疗方式之间的术前,术后和术后变量.
- 评估每个内镜方法的长期复发率.
主要方法:
- 在2001年至2020年期间接受治疗的患者的回顾性,基于人口的研究.
- 包括接受了刚性内镜分泌器切除术的患者.
- 使用住院记录对人口统计和临床数据进行治疗组的比较.
主要成果:
- 78名患者接受了104项干预措施;粗略发生率为0.57/100,000/年.
- 激光组的术后感染较多 (19.6%对3.4%),尽管抗生素预防作用较少.
- 临床复发率为35%的接器和51%的激光在中位数119个月的随访.
结论:
- 无论是内镜接还是激光分离器都对Zenker的分离器安全.
- 对于这两种手术来说,临床复发的风险很大.
- 治疗选择可能会影响术后感染率和长期结果.
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