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在微喉手术后出现术后声纤维化的危险因素
Po-Hsuan Wu1,2, Chi-Te Wang1,2,3
1Department of Otolaryngology Head and Neck Surgery Far Eastern Memorial Hospital New Taipei City Taiwan.
Laryngoscope investigative otolaryngology
|October 30, 2023
概括
手术后声纤维化 (PVF) 在有纤维质的患者中更为常见. 声带损伤的附着和症状持续时间的延长是微喉手术后PVF的重要风险因素.
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
- 声病理学 声病理学
背景情况:
- 针对良性声病变的微喉手术 (MLS) 可能导致术后声纤维化 (PVF).
- 确定PVF的风险因素对于改善手术结果和患者康复至关重要.
研究的目的:
- 分析与手术后声纤维化 (PVF) 的发展相关的风险因素,在接受微喉手术 (MLS) 的患者中.
主要方法:
- 一项回顾性研究包括了89名患者,他们接受了MLS,因为各种良性声病变.
- 用单变量和多变量逻辑回归来收集和分析患者特征和手术发现的数据.
- 在手术后6周通过视频laryngostroboscopy诊断出PVF,通过声不移或减少粘膜波幅来定义.
主要成果:
- 在89名患者中,16名 (18%) 患有PVF.
- 纤维质量与较高的PVF发病率显著相关 (p < .01).
- 单变量分析确定了声带病变的附着,长时间的手术时间 (>60分钟) 和症状持续时间 (>12个月) 作为PVF的显著风险因素.
结论:
- 带有纤维质量的患者患PVF的风险更高.
- 对声带带的损伤附着和症状持续时间的延长被确定为PVF的重要风险因素.
- 这些发现可以为手术规划和患者咨询提供信息,以减轻PVF风险.
关键词:
良性声病变 声病变在微喉外科手术中.术后的声纤维化有关风险因素的风险因素.视频laryngostroboscopy 视频laryngostroboscopy 视频laryngostroboscopy 视频laryngostroboscopy 视频laryngostroboscopy 视频laryngostroboscopy 视频laryngostroboscopy 视频laryngostroboscopy 视频laryngostroboscopy 视频laryngostroboscopy 视频laryngostroboscopy 视频laryngostroboscopy 视频laryngostroboscopy 视频laryngostroboscopy 视频laryngoscopy 视频laryngostroboscopy 视频laryngoscopy 视频laryngostroboscopy 视频laryngoscopy 视频laryngostroboscopy 视频laryngostroboscopy 视频laryngoscopy更多相关视频
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