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通过口腔内镜肌切除术 (Z-POEM):一种有效的治疗Zenker's Diverticulum,具有长期效果的治疗方法

Achmad Fauzi¹, Saskia Aziza Nursyirwan², Ari Fahrial Syam³

¹Division of Gastroenterology, Pancreatobiliary, and Digestive Endoscopy, Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.. saskia.aziza@gmail.com.

Acta medica Indonesiana

|October 6, 2025

概括

在 Zenker Zenker 里面.

科学领域:

胃肠病学和微创内镜手术.

背景情况:

由于喉肌肉问题,Zenker的分歧管 (ZD) 会导致吞困难.
传统的治疗方法,如开放式手术或刚性内镜,具有很高的风险,特别是在老年患者.
灵活的内镜技术正在成为ZD首选的一线治疗方法.

研究的目的:

举报一个用一种新的灵活内镜技术治疗Zenker's转管的病例,Z-POEM (Zenkers Peroral Endoscopic Myotomy).
评估Z-POEM在管理ZD症状中的有效性和安全性.

主要方法:

一位64岁的女性患有3厘米的ZD,接受了Z-POEM.
该手术涉及粘膜切口,粘膜下道,完整的隔膜肌切口,并用血栓关闭.
胃镜通过下膜空间向前推进,以访问和切断喉肌肉.

主要成果:

在Z-POEM程序成功切断了整个隔膜肌肉,允许轻松通过胃镜.
患者经历了治疗后六个月的消化不良和反完全消失.
该技术提供了完整的可视化,最大限度地降低了不完整肌肉切割的风险.

结论:

禅克口腔内镜肌切除术 (Z-POEM) 是一种精确且有效的灵活内镜治疗禅克管的方法.
与传统的手术方法相比,Z-POEM提供了一种最小侵入性的替代方案,降低了患病率.
这种技术确保了完整的肌肉切割,导致显著的症状改善和更好的患者结局.

关键词:

内镜检查是指内镜检查.这是Zenker的分流器.内镜性骨髓瘤瘤 (myetomy) 是一种内镜性骨髓瘤.胃肠病学胃肠病学第三个空间内镜.

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