椎间盘 Hernia 和 Zenker's Diverticulotomy 的结局是什么
Katherine P Wallerius1, Lazaro R Peraza1, Hawa M Ali1
1Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA.
概括
接受Zenker治疗的患者
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 食道疾病 食道疾病
背景情况:
- 禅克分歧切除术 (ZD) 是一种治疗禅克分歧切除术的手术.
- 缺口是常见的,可能会影响ZD后的结果.
研究的目的:
- 为了比较反流症状,Zenker's分分管复发,以及在患有和没有经过ZD的椎间的病史的患者的临床结果.
主要方法:
- 单个机构对426名接受ZD治疗的患者进行了回顾性审查 (2006年1月至2020年12月).
- 抽象的数据包括人口统计,反流症状 (EAT-10,RSI),不良事件和复发率.
- 患者的分层是基于有或没有椎间的病史.
主要成果:
- 97名患者 (22.8%) 曾经患有间歇性;11名患者之前曾经进行过尼森基底复合.
- 患有间歇性史的患者在EAT-10 (P<.01) 和RSI (P=.03) 评分上表现出较小的改善.
- 两组之间没有观察到术后并发症或Zenker分分管复发率的显著差异.
结论:
- 虽然没有间歇性史的患者报告了更大的症状改善 (EAT-10,RSI),但这些差异可能没有临床意义.
- 缺口的病史不会显著影响Zenker的分泌体复发或ZD后的术后不良事件.
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