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喉办公室程序:一种安全的方法
1ENT-HNS Department, Aix Marseille Univ, La Conception University Hospital, Marseille, France; ENT-HNS Department, Galilee Medical Center, Nahariya, Israel.
American journal of otolaryngology
|December 1, 2023
概括
在局部麻醉下办公室灵活的喉腔镜术是各种喉干预的安全和耐受性良好的手术. 大多数患者都能很好地忍受这些手术,很少出现轻微的副作用,使得门诊护理成为可能.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 最少侵入性的手术
- 基于办公室的程序
背景情况:
- 具有操作通道的灵活鼻镜使越来越多的办公室喉手术成为可能.
- 局部麻醉越来越多地用于这些干预,提高了患者的便利性.
研究的目的:
- 评估在局部麻醉下使用柔性鼻镜进行的办公室喉手术的耐受性.
- 分析这些门诊干预的安全性和可行性.
主要方法:
- 一项追溯的队列研究,对337例病例进行了两年时间.
- 收集的数据包括病理类型,手术类型,麻醉方式和不良事件.
主要成果:
- 包括活检 (19%),注射 (65%) 和激光使用 (12%),用于各种喉病理.
- 轻微的不良事件 (7.7%) 包括咳,疼痛和吐反射;严重事件很少发生.
- 由于不耐受性,只有13次手术被中止,97%的人在监测后被送回家.
结论:
- 在局部麻醉下办公室灵活的干预喉腔镜是安全的,并且耐受良好.
- 广泛的喉干预可以在门诊环境中成功进行.
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