喉皮形成的危险因素:一项专注于喉重建技术的研究
Yagmur Barcan1, Yalcin Alimoglu2, Gokhan Gurbuz3
1Health Sciences University Haseki Training and Research Hospital, Department of Otorhinolaryngology, Istanbul, Turkey.
The Journal of laryngology and otology
|October 21, 2024
概括
用简单的中断和彻底的部剖析进行喉重建是全喉切除术后喉瘤的关键危险因素. 建议采用修改后的库辛 suture技术来减少的发生率.
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:
- 鼻腔皮是全喉切除术后的一个常见并发症.
- 识别风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 在全喉切除术和双侧部剖析后,调查喉皮质瘤发展的独立风险因素.
主要方法:
- 对164名接受全喉切除和双侧部剖析的患者 (2009-2021) 的回顾性分析.
- 排除标准包括下喉干扰,喉切除,舌头底部切除,片重建或救援手术.
- 多变量回归分析被用来确定形形成的预测因素.
主要成果:
- 用简单的中断接进行喉重建与风险增加有关 (OR:3.12,p=0.010).
- 极端部剖析也是皮的独立预测因子 (OR:3.16,p=0.028).
结论:
- 简单的中断 sutures 关闭和彻底的部剖析是严重的风险因素 皮.
- 修改后的库辛 suture技术被推用于简单的中断,以减少的发生率.
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