在患有深部感染的患者中术后吞功能
Shohei Ashizawa1, Takuma Hisaoka1, Ryoukichi Ikeda2
1Department of Otolaryngology and Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
Biomedicine hub
|November 3, 2023
概括
深部感染可能导致吞问题 (吞障碍). 前宫腹与治疗后的持续时间较长的消化不良有关,影响恢复.
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
- 传染性疾病 传染性疾病
背景情况:
- 深部感染 (DNI) 管理需要早期检测失风险,以便及时康复和饮食调整.
- 吞功能对于DNI治疗期间的恢复至关重要.
研究的目的:
- 评估深部的程度与术后吞功能之间的关系.
- 为了识别与长期失消症相关的特定深空间.
主要方法:
- 对DNI案件的回顾性图表审查 (2015年4月至2021年4月).
- 使用计算机断层扫描对深部间隙进行分类.
- 使用功能性口服摄入量表 (FOIS) 评估吞功能,得分≤3表示食障碍.
主要成果:
- 分析了17个DNI案件.
- 手术后的2,4周和8周,缺食症的流行率分别为14例,11例和8例).
- 前宫腔明显与手术后4周和8周增加的消化不良相关 (p=0.018,p=0.036).
结论:
- 前宫腔可能会延长治疗后的消化不良.
- 宫前部空间的炎症和痕可能导致持续的吞困难.
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