对于COVID后的喉支气管狭窄症进行开放式呼吸道手术
Lluís Nisa1, Hajdi Leroyer1, Kishore Sandu2
1Department of Otorhinolaryngology, Head and Neck Surgery, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
概括
在COVID后的喉狭窄症 (LTS) 的开放性重建手术中,并发症率很高. 在这些复杂的呼吸道病例中,喉干涉显著影响了脱口腔,语音和吞结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胸部外科手术 胸部外科手术
- 关键护理医学 关键护理医学
背景情况:
- 由于COVID-19大流行,由于长时间的输液管和气管切除术,患有喉狭窄症 (LTS) 的患者数量增加.
- 这项研究侧重于LTS的外科治疗和结果,特别是在COVID-19后的患者群体中.
研究的目的:
- 报告COVID-19病史患者的喉狭窄症 (LTS) 开放重建性手术的经验和结果.
- 为了比较COVID-19相关的LTS的结果与其他原因的LTS患者的对照组.
主要方法:
- 在所有患者身上进行了术前内镜呼吸道评估.
- 病变被使用博格达萨里安和科顿-迈尔斯分类来分类;并发症被克拉维恩-丁多分类.
- 开放的外科手术包括气管切除和解剖,喉外重建和扩展的外切除.
主要成果:
- 分析了14名COVID后LTS患者 (1名女性,13名男性),与对照组相比.
- 在COVID-19组中,术后并发症的发生率很高 (85.6%).
- 70%的先前有气管切除术的患者实现了脱;然而,语音和吞功能经常受到损害,特别是在喉干扰的情况下.
结论:
- 呼吸道外科医生在COVID-19后面临越来越多的复杂的LTS病例,这些病例与严重的手术并发症有关.
- 与隔离性气管狭窄症患者相比,喉干扰患者的脱口,语音和吞方面的结果较差.
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