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传统的单手与双手内镜耳部手术相比,使用内镜支架:一个单中心研究

Christoph Müller¹, Anastasia Raczynski², Susen Lailach²

¹TU Dresden, Faculty of Medicine and University Hospital Carl Gustav Carus, Department of Otorhinolaryngology Head and Neck Surgery, Ear Research Center Dresden, Fetscherstraße 74, Dresden, 01307, Germany. Christoph.mueller@uniklinikum-dresden.de.

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

|October 15, 2024

概括

一个新的被动内镜支架使双手内镜耳部手术 (EES) 成为可能,解决了一个关键的挑战. 虽然初步结果显示结果没有显著差异,但建议进一步研究以获得确的证据.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
手术技术手术技术
最少侵入性的手术

背景情况:

一只手是常规内镜耳部手术 (EES) 中的一个显著限制.
被动内镜支架"Endofix exo"的引入是为了促进双手EES.
本研究报告了该设备在EES程序中的初始应用.

研究的目的:

评估在EES中使用被动内镜支架的可行性和初始结果.
将双手EES与持有器与传统单手EES进行比较.

主要方法:

一项双面研究,将经典EES (EES-) 与使用被动持有人 (EES+) 的EES进行比较.
25名患者接受了EES-和15名患者接受了EES+进行第一阶段 tympanoplasty.
评估结果包括切割接时间,手术时间,并发症,移植,听力结果和生活质量.

主要成果:

在EES和EES+组之间在操作时间,切割接时间,并发症,接种率或听力结果方面没有发现显著差异 (p > 0.05).
两组都显示出改善术后听力和生活质量的趋势.
平均运行时间为96分钟 (EES-) 与107分钟 (EES+).
平均切割接时间为68分钟 (EES-) 和73分钟 (EES+).

结论:

被动内镜支架在EES中成功应用,使双手手术成为可能.
需要进一步的修改和研究来最终评估双手EES的优势.
未来的研究应该专注于移植和假肢定位,以获得明确的结果.

关键词:

切割-接时间消极的内镜支架被动的内镜支架.手术后的结果.手术辅助系统手术辅助系统双手内镜耳部手术是双手内镜耳部手术.

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