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在全喉切除术后对喉粘液的关闭技术进行比较:手工,线性接器和甲状腺片-A回顾性分析
Bo Han1,2,3, LiZhen Hou2, Sen Hao3
1Department of General Surgery, Beijing TongRen Hospital, Capital Medical University, Beijing, China.
Ear, nose, & throat journal
|October 7, 2024
概括
这项研究比较了全喉切除术 (TL) 后的关闭方法. 线性合器为不复杂的病例提供最快的关闭,而甲状腺片对于复杂的修复是有效的,所有技术的状腺率相似.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 头部和部手术 头部和部手术
背景情况:
- 整体喉切除术 (TL) 是用于喉癌的手术程序.
- 喉粘膜的关闭是TL后的关键步骤,影响患者的治疗结果.
- 存在各种关闭技术,每个都有潜在的好处和缺点.
研究的目的:
- 为了比较TL后三种关闭技术的临床有效性:
- 手工 (A组),线性接器 (B组) 和甲状腺片 (C组).
- 评估参数,包括关闭时间,抽率,住院和成本.
主要方法:
- 在2017年至2021年期间接受TL的81名喉癌患者的回顾性分析.
- 根据使用的关闭方法,患者被分为三组.
- 临床结果,手术参数和功能结果的比较.
主要成果:
- 使用线性接器 (B组) 与显著缩短的操作时间和略低的总成本有关.
- 喉抽的发生率在所有组中都是可比的 (总体为17.28%).
- 在术后的水平或甲状腺功能中没有发现显著差异.
结论:
- 甲状腺片是一种安全有效的方法来修复粘膜缺陷,并在TL后关闭喉.
- 在没有粘膜缺陷和广泛的入侵的情况下,线性合器是关节关闭最节省时间的方法.
- 所有评估的方法都显示了可比的喉塞率,并没有对或甲状腺功能的显著影响.
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