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Postmyotomy dysphagia after laparoscopic surgery for achalasia

机译:腹腔镜手术后肌切开后吞咽困难

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AIM: To determine predictive factors for postoperative dysphagia after laparoscopic myotomy for achalasia. METHODS: Logistic regression was used to investigate the possible association between the response (postoperative dysphagia, with two levels: none/mild and moderate/severe) and several plausible predictive factors. RESULTS: Eight patients experienced severe or moderate postoperative dysphagia. The logistic regression revealed that only the severity of preoperative dysphagia (with four levels: mild, moderate, severe, and liquid) was a marginally significant (P=0.0575) predictive factor for postoperative dysphagia. CONCLUSION: The severity of postoperative dysphagia is strongly associated with preoperative dysphagia. Preoperative symptomatology can significantly impact patient outcome.
机译:目的:确定腹腔镜肌电切开术治疗门失弛缓症术后吞咽困难的预测因素。方法:采用逻辑回归分析调查反应(术后吞咽困难,有两个水平:无/轻度和中度/重度)与一些可能的预测因素之间的可能关联。结果:8例患者出现严重或中度的吞咽困难。 Logistic回归显示,只有术前吞咽困难的严重程度(轻度,中度,重度和液体四个水平)才是术后吞咽困难的显着预测因素(P = 0.0575)。结论:术后吞咽困难的严重程度与术前吞咽困难密切相关。术前症状可显着影响患者预后。

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