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办公室刚性喉腔镜作为在微喉科镜中预测喉暴露的预测器
M K Manjunath1, Ravi Sachidananda2, R Jyothi Swarup3
1Sparsh Hospitals, Bengaluru, 560055 India.
概括
基于办公室的刚性喉腔镜有效地预测了微喉手术的喉暴露. 这种查工具有助于预测手术条件,改善对良性声带损伤程序的规划.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术规划 手术规划
- 诊断成像 诊断成像 诊断成像
背景情况:
- 微喉外科手术需要最佳的喉暴露,这往往很难在手术前预测.
- 在手术前预测喉暴露对于成功的微喉手术至关重要.
研究的目的:
- 评估办公室硬性喉腔镜 (70°) 作为查工具的实用性.
- 在随后的微型喉腔镜检查良性声带病变时预测喉暴露.
主要方法:
- 69名患有良性声带病变的患者接受了办公室硬硬喉镜检查 (70°).
- 喉腔镜检查的分级是 (1-3) 基于喉和前腔部的可视化.
- 评分与微型喉镜检查期间实际的喉暴露相关.
主要成果:
- 在基于办公室的分级和操作暴露之间发现了强烈的相关性 (克莱默V = 0.746).
- 一级预测有利的暴露 (93%);二级预测有利的 (66%) 或部分有利的暴露 (33%).
- 3级总是导致不利的曝光,需要角度远喉镜检查.
结论:
- 使用70度望远镜的办公室硬性喉腔镜是微喉手术期间喉暴露的可靠预测器.
- 办公室检查的方便性与手术性微喉外科手术的方便性相关,有助于手术规划.
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