阻抗平面测量和泛度测量 (EndoFLIPTM) 可以取代在手术前抗反流手术评估中对人力测量
Vanessa N VanDruff1,2, Julia R Amundson3,4, Stephanie Joseph3
1Department of Minimally Invasive Surgery, NorthShore University HealthSystem, 2650 Ridge Avenue, GCSI Suite B665, Evanston, IL, 60201, USA. Vanessa.vandruff@uchicagomedicine.org.
Surgical endoscopy
|September 28, 2023
概括
功能性发光成像探针 (FLIP) 泛度测量显示在检测食道周结功能障碍方面具有很高的灵敏度,可能会取代高分辨率的泛度测量在抗反流手术前进行手术前评估.
科学领域:
- 胃肠病学 胃肠病学
- 食道生理学 食道生理学
- 外科评估的评估.
背景情况:
- 高分辨率测量仪 (HRM) 是评估食道运动性的标准.
- 抗逆流性手术需要精确的术前评估食道功能.
- 镇静或麻醉可以限制HRM的效用.
研究的目的:
- 为了评估功能性发光成像探头 (FLIP) 泛米测量作为HRM的替代方案,用于手术前评估.
- 为了确定FLIP泛度测的灵敏度和特异性,以确定食道动力障碍.
- 评估FLIP泛度测量的潜力,以简化患者护理.
主要方法:
- 120名接受反流体手术 (2021-2023) 的患者的前性数据.
- 在全身麻醉或镇静下,FLIP评估了平面度和泛度.
- 食道收缩反应被归类为正常,减弱/失调,或不存在,对HRM盲目.
- 与手术前HRM发现相比,FLIP的结果.
主要成果:
- 与HRM相比,FLIP泛度测试在检测周周功能障碍方面表现出95.0%的灵敏度.
- 通过FLIP.没有错过任何主要的运动障碍.
- 在57/60名HRM诊断的功能障碍患者中,FLIP发现了动力障碍.
- 患有正常HRM但异常FLIP的患者患有较大的间歇间歇和较高的消化障碍得分.
结论:
- 在麻醉或镇静下,FLIP泛度有效评估食道运动性.
- FLIP 泛度测量对周围静脉功能障碍非常敏感.
- FLIP 泛度测量显示了人力资源管理的替代品的潜力,特别是当人力资源管理难以获得或耐受性较差时.
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