对食道高分辨率计量仪的产量和发现进行了基于指示的分析
Amir Mari1,2, Sari Cohen2, Jamelah Abo Amer1
1Gastroenterology and Endoscopy Unit, Nazareth Hospital EMMS, Nazareth, Israel.
高分辨率计量 (HRM) 测试的产量因指示而异. 缺食症和反/吐的评估显示,食道运动障碍的诊断率最高,包括.
科学领域:
- 胃肠病学 胃肠病学
- 食道生理学 食道生理学
- 诊断测试 诊断测试 诊断测试
背景情况:
- 高分辨率计量 (HRM) 是诊断食道运动障碍的标准.
- 之前的研究集中在HRM的消化不良和胸痛,但产量根据指示是不太探索.
研究的目的:
- 根据各种临床指示,比较HRM的诊断产量和发现.
- 为了确定哪些指示最有效地识别食道运动障碍.
主要方法:
- 从2018年到2023年在两个高等教育中心对768项HRM研究进行了回顾性分析.
- 指示分类为消化不良,GERD评估,胸痛,腹上疼痛,吐/吐或手术前评估.
- 运动障碍的诊断遵循了芝加哥分类v4.0.0.的诊断.
主要成果:
- 缺食症 (47.9%) 和逆流前检测 (34.8%) 是最常见的迹象.
- 在45.7%的患者中发现运动障碍;在23.2%的患者中发现重大障碍,包括10.7%的achalasia.
- 根据适应症 (p<0.001),HRM诊断有显著的差异,最大的严重疾病率和失足症在失足症和反/吐组中.
结论:
- HRM测试的适用性影响了食道运动障碍的检测,包括.
- 测试消化不良和反复的反/吐提供了最高的诊断产量.
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