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在患有非典型食道外症状的患者进行腹腔镜囊复合后的整体满意度:一项比较队列研究
Jamie Hua1, Tanya Irvine1,2, Sarah K Thompson1
1Discipline of Surgery, College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
World journal of surgery
|November 27, 2024
概括
对一些单独患有喉回流症 (LPR) 的患者来说,囊移植手术可能会带来好处,尽管满意度低于患有胃食道回流症 (GERD) 的患者. 仔细的患者选择和咨询对于LPR患者的成功结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的结果
背景情况:
- 胃食道逆流 (GERD) 患者的食道外症状通常归因于喉回流 (LPR).
- 对于患有LPR症状但没有同时出现典型的GERD症状的患者,基囊复合的疗效存在有限的数据.
- 这项研究调查了患有LPR,有或没有GERD的患者的基囊复合结果.
研究的目的:
- 仅对患有喉回流症 (LPR) 的患者评估囊复合的有效性.
- 为了比较仅LPR患者的手术结果与LPR和GERD患者以及仅GERD患者的手术结果.
- 为了评估患者的满意度和症状缓解后反流体手术.
主要方法:
- 在1997年至2015年期间,对2204名接受基底复合的患者进行了回顾性分析.
- 患者被分为三组:只有LPR,有GERD的LPR和只有GERD.
- 包括胃炎,消化不良和满意度在内的结果在手术后的1-2年和5年被评估.
主要成果:
- 只有LPR组在1-2年内报告的满意度得分明显低于只有GERD或LPR+GERD组 (7.00对8.41,p=0.019).
- 只有LPR患者的68.1%获得了良好的结果 (满意度7-10),而其他组的84.1%-84.6%在1-2年内获得了良好的结果.
- 在患有LPR+GERD和仅患有GERD的患者之间,症状和满意度结果是可比的.
结论:
- 基因组复合可能只对LPR患者有好处,但与GERD患者相比,他们报告的满意度较低.
- 关于潜在结果的适当咨询对于考虑手术的仅LPR患者至关重要.
- 患有LPR和GERD的患者的手术结果与单独患有GERD的患者相似.
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