部分水平超喉切除术:哪些因素会影响脱后吞结果? 一个有前景的单一中心体验
Michele Grasso1, Massimo Fusconi1, Pietro De Luca2
1Department of Sense Organs, Sapienza University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.
概括
在Supracricoid部分喉切除术后的早期解可以加快短期吞恢复. 然而,诸如晚期瘤阶段 (T3) 和关节切除等因素在长期内显著延迟功能恢复.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 吞障碍 吞障碍 吞障碍
背景情况:
- 喉切除术 (supracricoid partial laryngectomy) 是一种用于喉癌的手术程序.
- 手术后吞功能障碍是一种常见的并发症.
- 假设早期的脱是为了改善吞恢复.
研究的目的:
- 为了评估早期脱口术在超形部分喉切除术后对吞功能的影响.
- 为了确定影响短期和长期吞恢复的因素.
主要方法:
- 一项对20名患有喉状细胞癌的患者进行的研究,这些患者接受了喉部分切除术 (10CHP,10CHEP).
- 纤维光学内镜评估吞 (FEES) 和修改的透吸收 (PAS) 尺度在手术后的12天和22天使用.
- 分析了包括手术技术,瘤阶段 (pT2/pT3),状腺切除和脱时间在内的因素.
主要成果:
- 早期脱 (平均6.7天) 与改善的短期PAS分数 (12天后) 有关.
- 手术技术,pT阶段,状腺切除和脱时间影响了12天的PAS得分.
- 手术技术,pT阶段和状腺切除是影响22天PAS得分的主要因素.
- 先进的T3阶段和状腺切除被确定为延迟吞恢复的主要因素.
结论:
- 早期脱术为在超状部分喉切除术后吞功能恢复提供短期益处.
- 长期的吞恢复受到瘤阶段和切除程度的显著影响,特别是T3阶段和形形切除.
- 虽然早期脱有助于短期恢复,但它并不能否定疾病和手术因素对吞功能的长期影响.
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