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重新审视的椎 - - 一个对定义,分类和应用的系统性审查
Karl Hermann Fuchs1, Ioannis Kafetzis1, Alexander Hann1,2
1Laboratory for Interventional and Experimental Endoscopy (InExEn), University of Würzburg, Grombühlstr. 12, 97080 Würzburg, Germany.
Life (Basel, Switzerland)
|September 28, 2024
概括
在临床实践和科学文献中使用沟 (HH) 分类正在下降. 需要改进文档,以便更好地科学比较和理解胃食道逆流症 (GERD) 中的HH.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
- 医学诊断 医学诊断 医学诊断
背景情况:
- 椎 (HH) 是一种腹部内容入中的情况,通常涉及到胃.
- HH在胃食道逆流性疾病 (GERD) 的病理生理学,严重程度和管理中发挥着重要作用.
- 广泛接受的斯金纳和贝尔西分类 (I-IV类型) 对于HH在临床实践和研究中未得到充分利用.
研究的目的:
- 系统地审查临床应用和科学文档的椎间分类.
- 在GERD的背景下,评估HH分类在诊断和治疗中的价值.
主要方法:
- 在PubMed.gov上发表的摘要的系统审查 (直到2023年12月),使用关键字"椎间".
- 分析的重点是研究,在全文文章中清楚描述了HH分类的应用.
- 在研究选择和数据提取方面遵循了PRISMA指南.
主要成果:
- 选了超过9300份摘要;分析了超过12,000个患者数据点的60篇论文.
- 在大多数研究中,Skinner和Belsey HH分类的应用不准确或不完整.
- 最常见的是I型高血压 (83%),其次是III型 (11%),II型 (4%) 和IV型 (1%).
- 精确的HH分类文档只在所有审查的论文的1%中发现,而那些专门关注HH的论文中,只有54%.
结论:
- 准确的椎分类的应用和文档有着下降的趋势.
- 纠正这一趋势对于提高科学可比性和对HH的理解至关重要.
- 标准化使用HH分类对于准确的诊断和GERD管理中的有效治疗策略至关重要.
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