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之前内镜治疗对皮切除术后功能结果的影响
Matthias Evermann1, Thomas Schweiger1, Veronika Kranebitter2
1Department of Thoracic Surgery, Medical University of Vienna, Vienna, Austria.
概括
之前对良性小结节狭窄的内镜治疗可能会在开放性手术 (cricotracheal切除) 后对语音质量产生负面影响. 接受多次内镜手术的患者在手术后可能会出现更糟糕的声乐结果.
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
- 喉腔病理学 喉腔病理学
背景情况:
- 良性小结节缩需要通过内镜技术或开放式手术进行治疗.
- 内镜治疗不那么侵入性,但往往会导致复发性狭窄.
- 之前内镜干预对开放性手术后结果的影响尚不清楚.
研究的目的:
- 为了评估先前内镜治疗对良性亚结节狭窄症的开放性手术修复后的功能性结果的影响.
- 为了比较以前未接受过治疗的患者和先前接受过内镜干预的患者之间的结果.
主要方法:
- 在2017年至2023年期间,对65名接受切除 (CTR) 的患者进行了回顾性分析.
- 包括患者特征,手术变量和详细的功能评估.
- 之前未接受过治疗的患者和先前接受过内镜预治疗的患者之间的结局比较.
主要成果:
- 预先治疗的患者更频繁地需要延长的外科手术 (P=0.049).
- 三次或以上的内镜治疗与CTR后显著较低的平均基本频率 (F0) 相关联 (P=0.048).
- 预先治疗的患者表现出较差的语音质量 (较低的声压水平,较高的语音障碍指数,RBH分数) 和更严重的失调症的趋势.
结论:
- 多次内镜预处理会对缩骨切除后的语音质量产生负面影响.
- 在考虑为 subglottic 狭窄症进行手术修复时,应讨论先前内镜干预的影响.
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