使用基于办公室的零度刚性喉腔镜来预测微喉科镜中的喉暴露
Sunil Sam Varghese1, Navneet Kumar1, Ashish Varghese2
1Department of ENT, Chrisitan Medical College, Ludhiana, Punjab, India.
Journal of voice : official journal of the Voice Foundation
|September 17, 2024
概括
零度喉腔镜准确地预测了微喉手术 (MLS) 的喉暴露. 这种方法优于Laryngoscore用于识别MLS的合适候选者.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术内镜是指手术内镜.
- 诊断成像 诊断成像 诊断成像
背景情况:
- 在微喉外科手术 (MLS) 期间,喉暴露不良可能会阻碍仪器仪表,并影响手术结果.
- 在手术前预测喉暴露对于手术规划和成功至关重要.
研究的目的:
- 评估4毫米零度刚性内镜喉检查在预测MLS期间的喉暴露的诊断效用.
- 为了比较零度喉腔镜与Laryngoscore的预测准确度.
主要方法:
- 这是一项涉及35名接受MLS治疗的成年参与者的横截面观察研究.
- 使用4毫米零度刚性喉腔镜和Laryngoscore进行手术前评估.
- 喉暴露被分级,参与者被分为良好的或困难的喉暴露组. 进行了接收机操作特征 (ROC) 曲线分析.
主要成果:
- 零度喉腔镜显示曲线下的高面积 (AUC) 为0.97,表明预测准确度很好.
- 在Laryngoscore的AUC值为0.83.
- 最佳切断值显示零度喉腔镜检查具有93.3%的灵敏度和100%的特异性,用于预测难以暴露的喉,其性能优于Laryngoscore.
结论:
- 零度喉镜是微喉外科手术中喉暴露的优秀和高度准确的预测器.
- 这种内镜技术在识别可能在MLS期间遇到难以暴露的喉患者时超过了Laryngoscore.
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