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功能性口服摄入在初级与救援喉切除术中的作用
Anna C Lawrence1, Sarah King1, Bryan Renslo1
1Department of Otolaryngology-Head and Neck Surgery, University of Kansas School of Medicine, Kansas City, Kansas, USA.
概括
接受救援喉切除术 (SL) 的患者在3-6个月内表现出与初级喉切除术 (PL) 患者相似的口服摄入量,但PL患者的情况继续改善. 许多患者在喉切除术后经历了长期的吞困难.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 吞障碍 吞障碍 吞障碍
背景情况:
- 晚期喉平细胞癌通常通过初级手术或化学辐射治疗.
- 功能性口服是喉腔切除术后的一个关键结果.
研究的目的:
- 为了比较手术后的功能性口服摄入量,进行一次性喉切除术 (PL) 和救援喉切除术 (SL) 的患者之间.
主要方法:
- 在125名患者的回顾性队列研究中,这些患者在2011年至2021年期间接受了喉腔切除术.
- 对人口统计,诊断,治疗和手术前后吞功能数据的分析.
- 后续调查,以评估长期吞状态.
主要成果:
- 救助喉切除术 (SL) 患者的术前口服摄入得分 (FOIS) 比初级喉切除术 (PL) 患者低,尽管在统计学上不显著.
- PL患者更有可能在术后切除养管.
- SL患者更有可能需要长期的输卵管安置 (>6个月).
- 手术后SL FOIS改善了3个月,而PL FOIS改善了12-15个月.
- 30.4%的患者在手术后平均4.4年报告了持续的饮食限制.
结论:
- 吞下结果在SL和PL患者之间在喉切除术后3-6个月是相似的,但SL患者的水平.
- PL患者在口服摄入中表现出持续改善,持续长达一年.
- 50%的喉切除术患者在手术5年后报告持续性消化不良.
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