一个新的上食道膜气球扩张器的安全性
Grace M Wandell1, Janeth Garcia Swartwood1, Ashar Singh Brar1
1Department of Otolaryngology - Head and Neck Surgery, University of California, Davis, Sacramento, California, USA.
The Laryngoscope
|July 10, 2024
概括
无限UES扩张系统,专为形上缩管 (UES) 设计,安全地实现了更大的扩张尺寸. 与传统的圆柱状食道扩张器相比,这种针对UES的扩张器显示出有前途.
科学领域:
- 胃肠病学 胃肠病学
- 医疗设备创新 医疗设备创新
- 食道生理学 食道生理学
背景情况:
- 传统的食道扩张器在350多年来一直保持不变.
- 研究表明,食道上 (UES) 有非圆形,类似脏的形状,这表明圆柱形扩展器可能是不理想的.
- 无限UES扩展系统是为了匹配UES的特定解剖结构而开发的.
研究的目的:
- 评估新型无限UES扩展系统的安全性和有效性.
- 为了比较UES特定扩张器与传统食道扩张器的性能.
- 评估与不同扩张器类型相关的扩张尺寸和并发症率.
主要方法:
- 在2022年1月至2023年9月期间,对477名接受UES扩张的患者进行了回顾性审查.
- 抽象的数据包括人口统计,指示,扩展器类型 (无限,常规并排,常规单体),不良事件和主要并发症.
- 在两组之间比较轻微的不良事件,并发症和最大扩张尺寸.
主要成果:
- 总共进行了873次UES扩张;主要迹象是喉肌肉功能障碍 (43%) 和辐射诱导的狭窄 (40%).
- 无限气球实现了33毫米的平均最大扩张,而两个常规气球为32毫米,一个常规气球为18毫米.
- 无限系统没有发生重大并发症,而常规气球发生了三次. 轻微的不良事件在各组之间没有显著差异.
结论:
- 特定于UES的Infinity食道扩张器提供了显著更大的最大扩张尺寸.
- 无限系统似乎至少与用于UES扩张的传统单圆柱体气球一样安全.
- 这种特定于UES的扩展器为UES扩展程序提供了一个潜在的改进选择.
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