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在全喉切除术后成功使用电喉的因素,多机构研究
Cassie Pan1, Leah I B Andrews2, Emily Johnson3
1Department of Otolaryngology-Head and Neck Surgery University of Washington Seattle Washington USA.
Laryngoscope investigative otolaryngology
|February 16, 2024
概括
在全喉切除术 (TL) 后成功使用电喉 (EL) 与强大的社会支持和口服饮食能力有关. 手术前的放射治疗也影响了结果,突出了语音康复成功的因素.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
- 在瘤学瘤学.
背景情况:
- 全喉切除术 (TL) 需要使用其他声音恢复方法.
- 电喉 (EL) 是一个常见的语音康复工具后TL.
- 影响EL成功使用的因素需要进一步阐明.
研究的目的:
- 为了确定患者的特征与成功使用电喉 (EL) 后全喉切除术 (TL).
- 分析术前治疗和术后康复对EL成功的影响.
主要方法:
- 对196名接受TL治疗的成年患者进行了回顾性审查.
- 数据收集包括年龄,并发症,社会支持,手术前辐射 (RT) 和化学辐射 (CRT),以及吞状态.
- 统计分析使用波桑回归和多变量分析 (MVA) 来评估与EL成功相关的因素.
主要成果:
- 几乎一半 (47%) 的患者成功使用了EL.
- 高度的社会支持和实现全口饮食后TL显著与EL成功相关.
- 手术前治疗史显示出与EL成功的显著关联,之前的RT显示出更高的成功率的趋势,CRT显示出更低的成功率的趋势.
结论:
- 在全喉切除术后成功使用电喉与强大的社会支持和口服饮食相关.
- 手术前的治疗方式,包括放射和化疗,似乎会影响语音康复的结果.
- 建议进行进一步的前性研究,以验证这些发现,并指导语音康复策略的临床决策.
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