在救援口腔大切除术后的外科和功能结果
Logesvar Balaguru1, Krishna S Hanubal2, Zhanna Galochkina3
1Department of Otolaryngology, University of Florida, Gainesville, FL, USA.
Oral oncology
|October 4, 2024
概括
在放射治疗 (RT) 后复发癌症的救援口腔喉手术往往导致长期的气管切开和管道依赖. 虽然许多患者恢复了口服,但有些人更喜欢输液管养,这对功能结果产生了影响.
科学领域:
- 头部和部手术 头部和部手术
- 手术瘤学手术瘤学
- 辐射瘤学 辐射瘤学
背景情况:
- 放射治疗 (RT) 后的救援口腔喉手术是复杂的.
- 在RT后复发或持久的口腔大癌需要专门的治疗方法.
研究的目的:
- 评估手术并发症和功能结果.
- 评估在RT后接受救援喉腔切除术的患者的结果.
主要方法:
- 在2016年至2021年期间治疗的26名患者的回顾性评估.
- 分析气管切除术和输管养的依赖性,以及口服状态.
- 卡普兰-梅尔生存分析方法.
主要成果:
- 气管管切除术的平均切除时间为25.1天.
- 在12个月后,92.9%的患者可以耐受口服,但只有60%的患者不依赖胃管食.
- 平均整体存活期为27个月,局部复发是主要的死亡原因.
结论:
- 患者在救援手术后面临长期依赖气管切除术和输液管养.
- 患者更喜欢输液养,即使吞完整,也需要进一步调查.
- 确定影响功能结果和生存的因素至关重要.
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