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在基金申请期间使用EndoFLIP是否会改善结果?
Andrew F Sabour1, Emily D Duckworth2, Marvin A Rhodes2
1Division of Surgery, Department of Surgery, Prisma Health/USC School of Medicine Greenville, 905 Verdae Blvd, Suit #202, Greenville, SC, 29607, US. afsabour@gmail.com.
Surgical endoscopy
|June 9, 2025
概括
在手术内阻抗平面测量 (EndoFLIP) 测量食道直径和阻抗指数 (DI) 显示与术后结果的相关性很小. 更高的DI和直径与反的增加有关,这表明其他因素影响手术后的消化不良和GERD.
科学领域:
- 在外科手术之前,我已经做了手术.
- 胃肠病学 胃肠病学
- 手术技术手术技术的使用.
背景情况:
- 阻抗平面测量 (EndoFLIP) 提供有关食道直径和伸展性指数 (DI) 的实时手术内数据.
- 这种客观的生物反可以提高先手术的外科一致性.
- EndoFLIP测量对术后结果的影响仍未得到充分研究.
研究的目的:
- 为了调查手术内EndoFLIP测量 (DI和直径) 与患者在骨修复和骨复合后报告的结果之间的相关性.
- 确定特定的EndoFLIP得分值,可以预测术后生活质量.
主要方法:
- 对55名正在接受骨修复和骨复合的患者的未来数据库审查 (2023年1月 - 2024年9月).
- 标准化的EndoFLIP测量DI和直径被记录在基金复制后.
- 患者在2个月,6个月和1年完成了GERD-HRQL,REGURG,LPR-RSI和失调调查.
- 斯皮尔曼等级相关性分析了手术内测量和随访生活质量得分之间的关系.
主要成果:
- 在1年的随访中,直径/DI和GERD-HRQL或LPR-RSI得分之间没有发现显著的相关性.
- 在术前和术后得分变化之间没有观察到相关性.
- 在1年后的随访中,在更大的DI和直径测量和更高的REGURG得分之间发现了正相关性.
结论:
- 在手术期间,EndoFLIP对食道直径和DI的测量对大多数术后的结果具有很小的预测价值.
- 更高的DI和直径测量与反的增加相关.
- 除了DI和直径之外的其他因素可能会影响术后食症和GERD,需要进一步调查.
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