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宫扩散性骨高静止症作为一种罕见的消化不良的原因:两个手术病例
Emin Tabipoğlu1, Fatih Bera Gürtaş1, Azamkhon Lazizov1
1Department of Neurosurgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Surgical neurology international
|February 9, 2026
概括
宫脊椎的扩散性异常性骨超稳定症 (DISH) 可以导致可逆性消化不良. 前宫骨切除术有效地消除了症状,为Forestier患者提供了很好的结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 整形外科手术 整形外科手术
- 胃肠病学 胃肠病学
背景情况:
- 宫扩散性异常性骨高静止症 (DISH),或Forestier病,是一种不常见的失消症原因.
- 它是由骨质细胞对下喉或上食道的机械压缩造成的.
- 在适当的干预下,DISH诱导的消化不良可能是可逆的.
研究的目的:
- 评估前宫骨髓切除术治疗宫DISH引起的食障碍的疗效.
- 审查关于手术治疗宫DISH相关的食障碍的当前文献.
主要方法:
- 两名男性患者的介绍,由于前宫DISH而导致的渐进性消化不良.
- 放射性评估下喉和食道压缩.
- 通过前骨切除术进行手术干预.
- 研究 (2015-2024) 关于手术治疗宫DISH相关的消化不良的文献综述.
主要成果:
- 两个患者都经历了手术后立即和完全的消化不良症解决.
- 手术后饮食评估工具-10 (EAT-10) 和功能性口服摄入量表 (FOIS) 的得分正常化.
- 对200名患者的文献综述显示~90%的症状改善,患病率最小.
结论:
- 宫DISH是一种罕见但可以通过手术治疗的消化不良的原因.
- 早期诊断和前骨切除术导致了出色的临床结果.
- 及时的手术干预可以确保症状迅速消失,改善生活质量.
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