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语音息肉的间接喉手术:一个垂死或发展的艺术?
Ognjen Cukic1, Dejan Radaljac2, Nenad Arsovic3,4
1Clinic for Otorhinolaryngology, Military Medical Academy, Belgrade, Serbia.
概括
间接喉腔镜手术 (ILS) 提供了与声聚 (VFPs) 微喉腔镜 (MLS) 相似的语音结果. 对于某些患者来说,ILS是一种更简单,更具成本效益的替代方案.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 喉外科手术 喉外科手术
- 声音障碍 声音障碍
背景情况:
- 声息肉 (VFP) 是常见的良性喉病变,通常在全身麻醉下用微喉视镜 (MLS) 治疗.
- 从历史上看,间接的喉腔镜手术 (ILS) 用于在局部麻醉下去除VFP,需要先进的外科技能.
- 内镜和计算方面的进步旨在简化ILS用于办公室程序.
研究的目的:
- 为了评估间接喉腔镜手术 (ILS) 对声多的有效性.
- 为了比较ILS和微鼻镜 (MLS) 之间的语音结果.
- 评估ILS与MLS相比的成本效益.
主要方法:
- 一项涉及6名接受ILS治疗的患者和6名接受MLS治疗的患者的比较研究.
- 用患者自我评估和客观声学分析来评估语音结果.
- 计算了ILS和MLS程序成本.
主要成果:
- 在所有患者中,ILS和MLS都成功地切除了声的息肉.
- 两组之间没有观察到声音结果的显著差异.
- 间接喉腔镜手术 (ILS) 证明了显著降低手术成本.
结论:
- 间接喉腔镜手术 (ILS) 显示出潜在的成本效益替代微喉腔镜 (MLS) 对于精心挑选的声息肉患者.
- 该技术的简单性和经济优势值得考虑.
- 用更大的样本大小进行进一步的研究可能会验证ILS作为一个可行的办公室程序.
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