在老兵群体中引入尾镜:对良性唾液管疾病治疗的影响
Emelia Hughes1, Oscar Santiago Velazquez-Castro1, Daniel Cates2
1Department of Otolaryngology-Head and Neck Surgery, University of California, Davis Medical Center, Sacramento, CA 95817, United States of America.
American journal of otolaryngology
|December 24, 2023
概括
引入sialendoscopy显著降低了退伍军人的良性阻塞性唾液腺疾病的sialadenectomy率. 这种最少的侵入性方法为传统的腺体切除手术提供了一个有希望的替代方案.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 良性阻塞性唾液腺病理需要手术干预.
- 腺切除术是一种传统的腺切除术,具有潜在的发病率.
- 介绍的sialendoscopy提供了一个最少的侵入性替代品.
研究的目的:
- 为了比较退伍军人人群中的基切除率.
- 评估内镜引入对外科手术程序的影响.
- 评估对唾液病理的最小侵入性手术的变化.
主要方法:
- 退伍军人事务 (VA) 北加州医疗保健系统 (NCHS) 数据 (2006-2021) 的回顾性审查.
- 使用ICD-9/10代码识别患有良性阻塞性唾液病因的患者.
- 与CPT代码进行交叉引用以确定执行的程序;比较Sialendoscopy前时代 (PSE) 和Sialendoscopy时代 (SE).
主要成果:
- 在东南亚,良性阻塞性唾液病理患者体积增加.
- 降低了西拉基切除术的发生率,增加了SE的微创手术的发生率.
- 尾镜检查占了最少的侵入性技术的增加;下下腺病理是最常见的.
结论:
- 在这批退伍军人中,在良性阻塞性唾液病理方面,西亚伦多斯科普的引入与降低了西亚伦切除术的发生率有关.
- 最少侵入性技术,特别是内镜,是内切除术的有效替代品.
- 为了更广泛的概括性,需要进行进一步的前性研究.
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