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在抗反流手术期间,手术内阻抗平面测量 (EndoFLIPTM) 可以取代手术前的力度测量,患者的结果没有差异吗?

Jean-Christophe N Rwigema^1,2, Derrius Anderson³, Sullivan A Ayuso³

¹Division of Gastrointestinal and General Surgery, Department of Surgery, Endeavor Health, Evanston, IL, USA. jchrisrwigema@gmail.com.

Surgical endoscopy

|August 7, 2025

概括

取代手术前的测量仪,用手术内的功能性流体成像探针 (FLIP) 测量仪来进行反流体手术是可行的. 手术后六个月和一年的患者结果没有显著差异,支持这种方法.

科学领域:

胃肠病学和外科创新的创新
食道机动性诊断食道机动性诊断
抗逆流外科手术技术抗逆流外科手术技术

背景情况:

功能性光层成像探测器 (FLIP) 和泛度测量提供了超越传统测量尺度的高级食道运动性评估.
自2022年以来,在抗反流手术中首选采用了手术内测仪,以提高患者的舒适度和程序效率.

研究的目的:

为了评估术前和术后的结果后实施手术内FLIP泛度计作为替代手术前的Manometry在抗反流程序.

主要方法:

从2019-2024年对前性维护的胃食道数据库进行了回顾性分析.
包括接受尼森基底切除,图佩基底切除,磁性关节增大和抗反流性粘膜切除术的患者.
使用奇平方和威尔科克森等级和和测试,进行手术前测量对比手术内测量患者之间的结果比较.

主要成果:

泛度测量组中的93.2%的患者表现出正常的食道运动,相比之下,泛度测量组中的71.6%的患者表现出正常的食道运动 (p < 0.0001).
泛度组在手术后3周报告了更糟糕的GERD-HRQL (p=0.03) 和气体膨胀 (p < 0.004).
在手术后6个月,1年和2年后的组之间没有观察到RSI,GERD-HRQL,气体膨胀或消化障碍得分的显著差异.

结论:

在手术期间的FLIP泛度测量可以合理地替代手术前的反流查手术.
术后6个月和1年的患者生活质量结果在两种诊断方法之间是可比的.

关键词:

抗反流剂抗反流剂抗反流剂飞机上空飞行仪表 (FLIP) 的全景计.阻抗测量仪 (Impedance Panometry) 是一种阻抗测量仪,用于测量阻抗.干预措施干预措施人力测量法人力测量法

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