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喉穿孔的病因学和治疗方法
Givi Magradze1,2, Andreas Knopf3, Christoph Becker3
1Department of Otorhinolaryngology, Medical Center- University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany. givi.magradze@uniklinik-freiburg.de.
概括
患有下喉穿孔的患者面临着明显更高的死亡风险. 诸如椎神经外科手术和输食管心声造影等手术与孔穿孔风险的增加有关.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的结果
- 患者安全 患者安全
背景情况:
- 阴性和创伤性喉穿孔 (PP) 带来了重大的临床挑战.
- 了解风险因素和结果对于改善患者管理至关重要.
研究的目的:
- 评估诊断程序和治疗干预措施对喉穿孔 (PP) 患者的治疗结果和生存率的影响.
主要方法:
- 对36名患有阳性/创伤性PP的患者 (2010-2020年) 的回顾性审查.
- 使用年龄调整的查尔森并发症指数 (ACCI) 评估并发症.
- 术后并发症使用Clavien和Dindo分类进行分级.
主要成果:
- 低喉穿孔是最常见的 (80.5%). 患者的中位年龄为73岁.
- 高的中位数ACCI得分 (4,最常见的5) 表明了显著的并发症.
- 47.2%的人出现并发症,其中9例严重 (第四级).
结论:
- 低喉穿孔与与其他部位相比增加了42倍的死亡风险有关.
- 神经外科手术,食管内心回声和分泌器外科手术被确定为高风险手术.
- 整体住院死亡率为11.11% (4名患者).
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