一个安全网医院的气管食道穿孔结果
Trace T Palmer1, Samuel J Hopper2, M Caroline Murray3
1Department of Otolaryngology-Head and Neck Surgery, University of Mississippi Medical Center, Jackson, Mississippi, USA.
概括
使用气管食道穿刺 (TEP) 进行全喉切除术 (TL) 后的语音恢复显示出高并发症和低利用率. 二级TEP可以通过允许更多的患者咨询和愈合时间来改善结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音康复治疗 语音康复治疗
- 外科手术的结果
背景情况:
- 气管食管穿刺 (TEP) 是全喉切除术 (TL) 后的一种标准语音恢复方法.
- 了解不同患者群体的TEP结果对于优化康复策略至关重要.
研究的目的:
- 评估TEP结果,包括利用率和并发症率,在一组全喉切除术患者中.
- 确定影响TEP使用和并发症的因素.
- 为了比较初级和二级TEP安置之间的结果.
主要方法:
- 在2013年至2020年期间,在第三级医院接受TEP的226名患者的回顾性分析.
- 收集关于TEP安置 (初级/二级),利用,并发症和患者人口统计数据的数据.
- 统计分析以确定与TEP利用和并发症相关的因素.
主要成果:
- 在79%的患者中,TEP是首要进行的,在6%的患者中是次要进行的,并且在15%的患者中没有进行.
- 整体TEP使用率为53.4% (52%初级,71.4%二级).
- 与TEP相关的并发症发生在50.8%的患者中;二次TEP在黑人患者中不太常见,并且在喉切除术中更常见. 高龄和并发症减少了利用率.
结论:
- 这项针对较低社会经济地位的TL人群的研究揭示了高并发症和低整体TEP利用率.
- 二次性TEP安置可能是有利的,可能允许加强手术前咨询和改善患者愈合.
- 需要进一步的研究来完善TEP协议并提高语音康复成功率.
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