部分内镜与椎间盘 Hernia修复后手术基部复合的比较
Brian D Hodgens1, George Godwin1, Marvin Rhodes1
1From the Department of Surgery, Prisma Health Upstate, Greenville, SC (Hodgens, Godwin, Rhodes, Blackhurst, Kothari).
Journal of the American College of Surgeons
|January 14, 2025
概括
同时进行的横口无切口基底复合 (c-TIF) 和手术部分基底复合,在GERD患者的生活质量方面产生了相似的结果. 这两种程序都显著改善了症状,大多数患者在一年内停止使用质子抑制剂.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 逆流管理 逆流管理
背景情况:
- 胃食道逆流性疾病 (GERD) 的管理通常涉及持续症状的手术干预.
- 同时的横口无切口基复合 (c-TIF) 是一种新兴的内镜抗逆流程序.
- 本研究将c-TIF与传统的手术部分基底复合进行比较.
研究的目的:
- 为了比较c-TIF的生命质量 (QoL) 结果与12个月后手术部分基底复合 (前后) 的结果.
- 评估二次结果,包括质子抑制剂 (PPI) 的使用,消化不良和膨胀.
主要方法:
- 一个前性维护的反逆流血数据库的回顾性审查.
- 包括接受了c-TIF或手术性椎间板修复与部分基底复合的患者.
- 主要终点:在2,6和12个月的QoL得分;次要终点:PPI使用,30天的结果,OR时间,成本,重新操作.
主要成果:
- 在三个基囊复合组之间,手术后的QOL得分,PPI使用,消化不良或膨胀没有显著差异.
- 所有的基囊复合类型都显示出显著的症状改善.
- 65%-80%的患者在手术后12个月内停止使用PPI.
结论:
- 同时进行的横口无切口基底复合 (c-TIF) 显示了与手术部分基底复合相似的结果.
- 这两种技术都带来了显著的 QoL 改善和症状控制.
- 需要长期数据来确定这两种技术在症状管理和最小化副作用方面的优势.
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