吸烟会影响跨椎Zenker's分切除术的结果
Keshav D Kumar1, Hannaan S Choudhry1, Vraj P Shah1
1Department of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.
American journal of otolaryngology
|April 19, 2024
概括
吸烟增加了患者接受Zenker的分切除手术的风险. 吸烟者患并发症,感染和住院时间较长的比率更高,这突显了吸烟对手术结果的影响.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术结果研究研究.
- 公共卫生 公共卫生
背景情况:
- 禅克的分泌体是一种影响喉的疾病.
- 手术治疗,特别是开放式Zenker的分切除术,是一种常见的治疗方法.
- 关于吸烟如何影响这种手术后的结果的数据有限.
研究的目的:
- 为了研究在接受开放式Zenker's分切除术的患者中吸烟状态和术后结果之间的关联.
- 确定吸烟者与非吸烟者的特定并发症和管理差异.
主要方法:
- 使用美国外科医生学院国家外科质量改善 (ACS-NSQIP) 数据库 (2005-2018) 的回顾性队列研究.
- 对接受开放式Zenker分切除术的患者的分析.
- 统计分析包括千平方测试和多变量逻辑回归来比较基于吸烟状态的结果.
主要成果:
- 与非吸烟者相比,吸烟者 (9.8%) 较年轻,经营时间较长.
- 吸烟者出现整体术后并发症 (OR: 2.776),手术感染 (OR: 3.194) 和医疗并发症 (OR: 3.563) 的几率显著更高.
- 吸烟者也增加了医疗感染的几率 (OR: 1.247),延长了通风/输管 (OR: 8.508),以及延长了术后停留 (OR: 2.425).
结论:
- 吸烟是Zenker开放式分泌器切除术后不良术后结果的重要危险因素.
- 吸烟者面临着一系列并发症的高风险,包括感染和长时间的康复.
- 这些发现强调了在手术患者中戒烟的重要性.
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