接支架在尾镜检查后:一种新的技术,可以降低复发性炎的风险
Andrey Finegersh1,2, Julia Chang1,3, Yu-Jin Lee1
1Division of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California, USA.
The Laryngoscope
|June 20, 2023
概括
在sialendoscopy之后的接支架有效地减少了慢性 sialadenitis 的复发. 这种低成本,耐受性良好的方法改善了患者的治疗结果,并最大限度地减少了症状的复发.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
背景情况:
- 慢性腺炎显著影响生活质量,并导致复发性感染.
- 目前的sialendoscopy支架使用刚性材料,导致患者的不适和早期的支架移除.
研究的目的:
- 评估使用 sutures作为慢性腺炎的sialendoscopy支架材料的疗效和耐受性.
- 评估 suture stenting对症状复发和患者舒适性的影响.
主要方法:
- 追溯性队列研究,针对慢性腺炎的成年患者进行腺镜检查.
- 接支架的患者与没有接支架的患者之间的比较.
- 主要结局:三年后复发的腺炎;次要结局:支架脱和不适.
主要成果:
- 支架耐受性良好,平均安置时间为34.5天,脱率低 (7.1%).
- 针支架显著减少了三年内腺炎复发的发生率 (7.1%对45.7%,p=0.005).
- 多变量分析表明,在 suture stenting 中,症状复发的风险显著降低 (HR=0.04,p<0.001).
结论:
- 针支架是一种经济有效的,广泛可用的,耐受良好的替代方案,用于治疗慢性腺炎.
- 这种技术在预防治疗后的症状复发方面表现出很高的疗效.
- 针支架提供了一个有希望的解决方案,以改善患者在腺炎治疗的结果.
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