在灵活内镜Zenker's Diverticulotomy后的术后光镜外观
Shumon I Dhar1, Savannah E Lukkes2, Eric Allen1
1Department of Otolaryngology-Head and Neck Surgery, University of Texas-Southwestern Medical Center, Dallas, Texas, USA.
The Laryngoscope
|May 30, 2025
概括
使用Z-POEM技术的灵活Zenker的分泌器切除术显著改善了吞功能. 客观测量显示,在手术后,分管的大小减少,喉开口改善.
科学领域:
- 胃肠病学 胃肠病学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
背景情况:
- 禅克的分歧管 (ZD) 治疗正在向灵活的内镜方法发展.
- 缺乏针对柔性Zenker的分泌器切除术的客观结果.
研究的目的:
- 在Zenker的口腔内镜肌切除术 (Z-POEM) 后,对视频光镜吞研究 (VFSS) 的变化进行定量评估.
- 评估Z-POEM技术对ZD的光学和临床结果.
主要方法:
- 对接受Z-POEM治疗ZD的患者的回顾性审查 (2022年7月 - 2024年12月).
- 主要结局:分泌器大小,喉食道段开口 (PESo),喉收缩比 (PCR),透吸收量 (PAS).
- 二次结果:饮食评估工具-10 (EAT-10) 评分.
主要成果:
- 转体大小显著减少 (1.076厘米至0.469厘米,p<0.001).
- 改善了侧面Peso (0.392厘米至0.709厘米,p<0.001) 和降低了EAT-10分数 (16.59至6.35,p=0.001).
- 发现PCR增加 (0.0746至0.0583,p=0.03);AP PESo或PAS没有显著变化.
结论:
- Z-POEM是一种光学和临床有效的治疗Zenker的分歧器.
- 该技术在吞功能障碍和患者报告的结果中显著改善.
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