一个修改的光纤内镜评估吞通过囊评估食道失症:一个试点研究
Youval Slovik1,2, Benyamin Meir Kaminer3,4, Gorali Revital5
1Department of Otolaryngology-Head & Neck Surgery, Soroka University Medical Center, POB 151, Beer-Sheva, Israel. youvals@gmail.com.
Dysphagia
|June 13, 2024
概括
在FEES检查期间,使用空囊进行修改的吞测试可以帮助早期检测食道失. 这种简单的查工具有望用于识别需要进一步评估食道吞问题的患者.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 吞的功能性内镜评估 (FEES) 对于诊断口腔喉乱至关重要.
- FEES不评估吞的食道阶段,这限制了它对综合性吞障碍评估的范围.
- 早期检测食道失症对于及时干预和管理至关重要.
研究的目的:
- 为了研究一个修改后的FEES协议,包括一个空囊吞测试,用于早期检测食道失症.
- 评估这种修改后的FEES方法作为选工具的可行性和准确性.
主要方法:
- 一项前性,单中心试点研究,涉及109名接受标准FEES治疗的患者.
- 患者在FEES后吞下一个空囊,然后15秒后进行上食道内镜检查.
- 病理囊测试结果与随后的胃肠病学调查 (胃镜检查,MBS,食道测量) 相比较.
主要成果:
- 在55名患者 (57.8%) 中观察到病理性囊测试.
- 其中,48名患者 (87.3%) 确诊患有食道功能障碍,无论是单独的还是联合的.
- 与黄金标准测试相比,囊测试显示了高准确度 (83.3%),灵敏度 (88.46%) 和特异性 (75%).
结论:
- 用空囊吞和上食道查进行修改后的FEES检查是一种潜在的有价值的工具.
- 这种方法可能有助于早期识别患有食道功能障碍的患者.
- 进一步的研究可以验证这项技术在失调评估中的更广泛的临床应用.
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