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一种经过修改的垂直压力带,用于在全喉切除术后预防喉皮
Xuwei Duan1, Jian Xu1, Xueqin Liu2
1Guangxi Medical University Cancer Hospital, Department of Head and neck Surgery, Nanning, China.
Brazilian journal of otorhinolaryngology
|January 3, 2025
概括
经过修改的垂直压力带 (VPB) 在头癌的全喉切除术 (TLE) 后显著降低了喉皮 (PCF) 的发生. 这项技术还缩短了住院时间,改善了患者的治疗结果.
科学领域:
- 头部和部瘤学 头部和部瘤学
- 手术并发症 手术并发症
- 术后护理 术后护理
背景情况:
- 鼻腔皮 (PCF) 是全喉切除术 (TLE) 后的一个频繁且具有挑战性的并发症.
- 有效的策略,以减轻PCF风险后TLE头癌 (H&N) 对于患者的康复至关重要.
研究的目的:
- 评估修改后的垂直压力带 (VPB) 对PCF发生率的影响.
- 评估二次结果,包括PCF的时间,愈合时间和住院时间.
主要方法:
- 对133名接受H&N癌症TLE治疗的患者进行了回顾性研究 (2010年1月至2021年1月).
- 患者被分为接受修改VPB或手术后常规护理的组.
- 主要结局:PCF发生;次要结局:PCF发生时间,PCF愈合时间和住院时间.
主要成果:
- 经过修改的VPB组显示,与传统组 (33.3%) 相比,PCF率明显较低 (9.8%).
- 使用VPB与显著更短的住院时间有关.
- 多变量分析确定VPB作为PCF的独立保护因子 (RR=0.165,p=0.001).
结论:
- 修改后的VPB技术可以有效地减少H&N癌症的TLE后PCF的发生.
- VPB 应用是改善 TLE 患者手术结果的有希望的方法.
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