年龄对单层与多层空气道妥协的影响:多机构审查
Chanticha Laohakittikul1, Inderpreet Kaur Khalsa2, Shambavi J Rao3
1Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
概括
年龄不是成功治疗气道限制的障碍. 无论是年轻患者还是老年患者,无论进行了哪种外科手术,在脱率和生活质量方面,结果都相似.
科学领域:
- 喉腔病理学 喉腔病理学
- 外科手术的结果
- 老年医学 老年医学
背景情况:
- 气道限制状况,如后喉狭窄症 (PGS),多层气道狭窄症 (MLAS) 和双侧声麻 (BVFP) 影响所有年龄段的患者.
- 了解治疗结果的年龄相关差异对于有效的患者管理至关重要.
研究的目的:
- 为了研究患者年龄和治疗结果之间的关联,在单层或多层呼吸道限制的个体中.
- 为了比较年轻 (18-64岁) 和老年 (≥65岁) 成年人接受呼吸道损害治疗的结果.
主要方法:
- 在三级喉科中心进行了一项多机构的回顾性队列研究.
- 分析了158名患有PGS,MLAS或BVFP的患者 (96名年轻人,62名老年人) 的数据.
- 结果包括气管切除和脱管率,手术数量,以及患者报告的结果指标 (PROM).
主要成果:
- 在年轻人和老年人群之间,在性别,气管切除术放置或脱管切除成功率方面没有观察到显著差异.
- 年轻的患者更频繁地患有MLAS,而老年患者的先前辐射和恶性缩率更高.
- 尽管年轻的成年人接受了更多的手术,但PROMs在各年龄组之间是可比的.
结论:
- 年龄不是影响呼吸道限制条件治疗结果的重要因素.
- 对于呼吸道损伤的治疗决策不应该被患者的年龄所阻止,因为结果仍然可比.
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