吞的内镜和视频光镜评价食障碍:一个系统的审查
Mario Augusto Ferrari de Castro1, Rogério Aparecido Dedivitis2, Leandro Luongo de Matos2
1Universidade Metropolitana de Santos, Departamento de Cirurgia de Cabeça e Pescoço, Santos, SP, Brazil.
Brazilian journal of otorhinolaryngology
|April 10, 2025
概括
纤维光学内镜吞评估 (FEES) 和视频光镜吞研究 (VFSS) 显示成人消化不良的诊断性能相似. 费用可以提供更好的检测喉残留和吸收.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 消化不良,或吞困难,影响成年人跨越各种临床群体.
- 准确诊断食障碍对于有效管理和预防诸如吸入性肺炎等并发症至关重要.
研究的目的:
- 系统地审查和比较纤维光学内镜吞评估 (FEES) 和视频光镜吞研究 (VFSS) 在成年人吞障碍的诊断准确性.
主要方法:
- 在多个电子数据库 (MEDLINE,EMBASE,COCHRANE,SciELO,LILACS) 中对1991年1月至2020年3月期间发表的研究进行了全面的文献搜索.
- 根据预先定义的标准,六篇符合条件的文章被纳入了系统审查.
- 考虑了III级证据.
主要成果:
- 纤维光学内镜吞评估 (FEES) 与视频光镜吞研究 (VFSS) 相比,在识别喉残留物,透和吸入方面表现出更高的诊断准确性.
- 此外,FEES在检测玻尿酸过早泄漏方面表现稍好一些.
- 尽管存在这些差异,但两种方法的整体诊断性能并没有显著差异.
结论:
- 无论是FEES还是VFSS,都是一些有价值的工具,用于评估患有食障碍的成年人的吞.
- 在FEES和VFSS之间进行选择时,应根据测试可用性,临床医生的专业知识和患者偏好等因素进行指导.
- 可能需要进一步的研究来界定每个模式的具体指示.
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