儿童后侧喉狭窄症的内镜和开放治疗技术:系统性审查和元分析
Evan S Chernov1,2, Alejandro Marrero-Gonzalez2,3, Shaun A Nguyen1
1Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
The Laryngoscope
|October 9, 2024
概括
开放式和内镜手术都有效地治疗儿科后喉狭窄症 (PGS),显示出高的脱管和气道改善率. 内镜手术为管理这种情况提供了一种不那么侵入性的选择.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 喉腔病理学 喉腔病理学
背景情况:
- 儿科后喉狭窄 (PGS) 是一种复杂的呼吸道阻塞.
- 在严重的病例中,外科干预通常是必要的.
研究的目的:
- 为了比较开放式和内镜外科手术技术对儿科后侧喉狭窄 (PGS) 的结果.
- 评估在治疗PGS时,状骨分裂移植和粘膜片的疗效.
主要方法:
- 一个系统的审查和研究的元分析来自Cochrane图书馆,CINAHL,PubMed和Scopus.
- 评估的结果包括脱管率,呼吸道阻塞改善,声音症状和需要进一步的手术.
主要成果:
- 分析了19项涉及223名患者的研究;大多数患者患有IV级PGS.
- 内镜修复 (12项研究) 和开放技术 (7项研究) 显示了高的脱率 (分别为83.4%和90.2%).
- 这两种方法都显著改善了气道阻塞 (87.1%和84.4%).
结论:
- 儿科PGS存在多种手术选择,包括后骨裂与软骨移植以及严重病例的粘膜片.
- 内镜和开放技术都是有效的,内镜方法的侵袭性较小.
- 通过这两种手术方法可以实现高的脱管率和改善的气道阻塞.
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