临床诊断食道失症使用透鼻食道镜:一个案例报告
Nilanjan Bhowmick1, Vrushali Desai1, Rajasudhakar Rathinaswamy2
1Department of Laryngology, Deenanath Mangeshkar Hospital and Research Center, Pune, India.
概括
通过鼻腔食道镜 (TNE) 通过将患者病史与客观发现相关联,有效地诊断出食道功能障碍. 这种可视化技术确定了较低的食道质量,证实了后胸部不适的原因.
科学领域:
- 胃肠病学 胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 诊断成像 诊断成像 诊断成像
背景情况:
- 背面的不适和鼻是常见的症状,需要准确的诊断.
- 消化管失调需要一个系统的方法来识别潜在的结构性或功能性原因.
- 功能性食道镜 (FE) 和鼻腔食道镜 (TNE) 为食道评估提供了最少的侵入性方法.
研究的目的:
- 为了将临床病史与客观发现联系起来,在患有胸不适和鼻症的患者中.
- 用功能性食道镜 (FE) 来评估背侧不适的原因.
- 为了验证库克 (2008) 的算法,用于在一次会议中使用跨鼻腔食道镜 (TNE) 诊断食道干扰.
主要方法:
- 从一个72岁的男性患者获得了详细的病史,他患有失消化症和其他症状.
- 用数字吞工作站进行了吞的光纤内镜评估 (FEES).
- 通过鼻腔食道镜 (TNE) 用于可视化食道和评估吞功能.
主要成果:
- 经过TNE,在食道的下边缘发现了一个大质量损伤.
- 口腔,鼻和喉的吞阶段是完整的.
- 消化管阶段显示,围心静止减少,并确定了大质量病变,与患者的症状相关.
结论:
- 透鼻食管镜 (TNE) 是一种安全而舒适的门诊手术,用于诊断食道病变.
- 背面的不适可以客观地与由结构性损伤引起的食道失有关,正如TNE证实的那样.
- 库克 (2008) 的算法有效地指导了在一次访问中快速调查和诊断食道功能障碍.
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