在Toupet fundoplication后测量的阻力度指数与长期的消化障碍有关
Min P Kim1,2, Zoe K Lichtenberg3, Duc T Nguyen4
1Division of Thoracic Surgery, Department of Surgery, Houston Methodist Hospital, 6550 Fannin Street, Suite 1661, Houston, TX, 77030, USA. mpkim@houstonmethodist.org.
Surgical endoscopy
|June 10, 2025
概括
在Toupet fundoplication手术期间阻抗指数 (DI) 低于1.5与更高的长期失调率有关. 达到1.5以上的DI可能会改善患者的治疗结果,并减少吞困难.
科学领域:
- 胃肠病学 胃肠病学
- 手术技术 手术技术
- 医疗器械 医疗器械
背景情况:
- 内膜功能光成像探针 (EndoFLIP) 在Toupet fundoplication过程中提供客观的手术内数据.
- 术后内科EndoFLIP值与长期消化障碍之间的关联尚未得到充分证实.
研究的目的:
- 为了研究使用EndoFLIP进行的手术内延展性指数 (DI) 测量和在图佩特基部复合后长期食障碍的发生率之间的相关性.
主要方法:
- 一项回顾性队列研究分析了在2017年至2022年期间接受Toupet基因组复合的395名患者.
- 根据在30毫升体积下记录的手术内DI测量 (DI < 1.5,DI 1.5-2.0,DI > 2.0) 患者被分为三组.
- 在手术后一年的长期消化不良率在DI组中进行了比较.
主要成果:
- 所有组都在手术后5周表现出初始症状改善.
- 抗张能力指数 (DI) <1.5独立地与手术后一年 (8.7%) 显著更高的消化障碍率相关,而不是DI>2.0组 (2.7%).
- 患有DI在1.5到2.0之间的患者在术后需要使用较少的质子抑制剂.
结论:
- 在手术内进行的EndoFLIP测量,特别是阻抗性指数 (DI) <1.5,可以预测Toupet fundoplication后长期失足的可能性更高.
- 目标手术内DI>1.5可能有利于优化外科手术结果,并减少手术后失足症的发生率.
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