整体喉切除术后的Stapler与传统的喉修复:一项随机临床试验
Elsaeed Ahmed Mandor1, Hisham Atef Ebada2, Ahmed Musaad Abd El-Fattah1
1Department of Otorhinolaryngology, Mansoura University, Mansoura, 35511, Egypt.
概括
在全喉切除术后,Stapler喉关闭显著减少了喉皮 (PCF) 和手术时间. 这种方法可以改善吞功能,而不会影响晚期喉癌患者的生存率.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 全喉切除术是晚期喉癌的标准治疗方法.
- 喉关闭是全喉切除术后的一个关键步骤,影响功能结果.
- 喉皮 (PCF) 是喉关闭的一个常见并发症.
研究的目的:
- 为了比较功能和瘤结局的接器与手动喉关闭后的全喉切除术.
- 为了评估PCF的发生率和手术后的吞功能.
- 为了评估接受不同关闭技术的患者的生存率.
主要方法:
- 一项随机临床试验,涉及58名患有晚期喉癌的患者.
- 患者被随机分为两组:手动关闭 (n=28) 和带关闭 (n=30).
- 评估和比较功能性结果 (PCF发生率,吞) 和瘤结果 (存活率).
主要成果:
- 与手工组相比,接器组的PCF发病率明显较低.
- 在接器组中,操作时间显著缩短.
- 吞功能在接器组显著更好,生存率没有显著差异.
结论:
- 喉关闭是全喉切除术后可靠的技术,可以减少PCF和手术时间.
- 这种方法提供了更好的吞结果,而不会对瘤学结果产生负面影响.
- 建议仔细考虑瘤的迹象,在使用紧器关闭时.
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