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首页> 外文期刊>Surgical Endoscopy >Postmyotomy recollection of premyotomy symptoms of achalasia is very accurate, supporting longitudinal studies of symptom improvement.
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Postmyotomy recollection of premyotomy symptoms of achalasia is very accurate, supporting longitudinal studies of symptom improvement.

机译：肌萎缩后肌萎缩前肌切除术症状的肌注后复查非常准确，支持对症状改善的纵向研究。

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BACKGROUND: Recollection of preoperative symptom frequency and severity may change postoperatively, thus invalidating longitudinal studies. This study was undertaken to compare symptoms of achalasia before myotomy to patients' postoperative recollection of premyotomy symptoms. METHODS: A total of 173 patients, 54% male, of median age 48 years, have undergone laparoscopic Heller myotomy and have been followed through a prospectively maintained registry. Preoperatively, patients scored the frequency and severity of their symptoms on a Likert scale: 0 (never/very bothersome) to 10 (always/very bothersome). Similarly, after laparoscopic Heller myotomy, patients scored the frequency and severity of their symptoms, and re-scored their preoperative symptoms. Data are presented as median, mean +/- SD. RESULTS: Before myotomy, dysphagia, regurgitation, choking, chest pain, vomiting, and heartburn were particularly notable; symptom scores nearly globally improved after myotomy (p < 0.05 for all, Wilcoxon matchedpairs test), especially obstructive symptoms. Postmyotomy recollection of premyotomy symptom frequency and severity was neither substantively nor consistently different from premyotomy scoring. CONCLUSIONS: Before myotomy, patient symptom scores reflected the deleterious impact of achalasia. After myotomy, patient symptom scores dramatically improved, reflecting the favorable impact of laparoscopic Heller myotomy. Even years after myotomy, patient recollection of premyotomy symptom severity and frequency is very accurate and supports longitudinal studies of symptom improvement after myotomy.
机译：背景：术前症状频率和严重程度的回忆可能在术后改变，从而使纵向研究无效。这项研究的目的是比较肌切开术之前门失弛缓的症状与患者术后肌切开术前症状的恢复情况。方法：共有173名患者（54％的男性），中位年龄48岁，接受了腹腔镜Heller肌切开术，并接受了前瞻性维持登记。术前，患者用李克特量表对症状的频率和严重程度进行评分：0（从不/非常烦扰）至10（总是/非常烦扰）。同样，在腹腔镜Heller肌切开术之后，患者对症状的频率和严重程度进行评分，并重新评估术前症状。数据表示为中位数，均值+/- SD。结果：在肌切开术之前，吞咽困难，反流，窒息，胸痛，呕吐和烧心尤为明显。肌切开术后症状评分几乎全面改善（所有p <0.05，Wilcoxon配对对检验），尤其是阻塞性症状。肌切开后对肌切开前症状频率和严重程度的记忆与肌切开前评分无实质性或一致性。结论：在肌切开术之前，患者症状评分反映了reflected门失弛缓症的有害影响。肌切开术后，患者症状评分显着改善，反映了腹腔镜海勒肌切开术的有利影响。肌切开后甚至数年，患者对肌切开前症状严重程度和频率的回忆非常准确，并支持对肌切开后症状改善的纵向研究。

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