在患有缺食症的患者中对食道空化的评估:高分辨率阻抗计和定时食道计之间的差异
D L Cohen1, J Ghantus2, R Tome2
1The Gonczarowski Family Institute of Gastroenterology and Liver Diseases, Shamir Medical Center, Zerifin, Israel and Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Acta gastro-enterologica Belgica
|June 12, 2025
概括
定时食管图 (TBE) 检测到食管排空的频率高于高分辨率阻抗力计 (HRiM) 在消化不良患者. 协议是公平的,特别是在阿喀拉西亚病例中,这表明这两种测试对于评估食道运动障碍是有用的.
科学领域:
- 胃肠病学 胃肠病学
- 食道生理学 食道生理学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 评估食道排空是诊断失食症的关键.
- 高分辨率阻抗测量 (HRiM) 和定时食道图 (TBE) 是常见的诊断工具.
研究的目的:
- 为了比较HRiM和TBE在评估缺食症患者食道空化的有效性.
- 确定HRiM和TBE在评估食道清除中的一致率.
主要方法:
- 追溯性研究比较HRiM和TBE的结果在77个消化障碍患者 (2018-2022).
- 异常的食道清除定义为HRiM (不完整的玻尿酸清除) 和TBE (残留) 的特定标准.
主要成果:
- 确定的TBE有效食道清除的频率 (74.0%) 超过HRiM (57.1%) (P=0.027).
- 在HRiM和TBE之间的总体协议是75.3%.
- 在阿喀拉西亚患者 (86.7%) 中,一致性最高,与缺乏饮酒相关.
结论:
- 根据这项研究的参数,TBE在检测异位症患者的食道排空方面比HRiM更为敏感.
- 无论是HRiM还是TBE,都显示出公平的一致性,在阿喀拉西亚患者中具有很高的一致性.
- 无论是HRiM还是TBE,都可能适合于在阿喀拉西亚中评估食道排空.
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