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口腔癌的口腔外科手术后的并发症:一个ACS-NSQIP数据库研究

Stephanie Wong¹, Liyang Tang¹, Daniel Kwon¹

¹Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine of USC, Los Angeles, California, U.S.A.

The Laryngoscope

|January 21, 2025

概括

对口腔状细胞癌 (OPSCC) 的口腔外科手术 (TOS) 是安全的,并发症率低. 吸烟,糖尿病,充血性心力衰竭 (CHF) 和美国麻醉学会 (ASA) 3+级是不良结果的关键风险因素.

科学领域:

在瘤学瘤学.
手术瘤学手术瘤学
耳鼻喉科耳鼻喉科耳鼻喉科

背景情况:

对口腔状细胞癌 (OPSCC) 的口腔外科手术 (TOS) 存在风险,包括经手术后因出血而导致的死亡.
虽然30天死亡率和发病率一般较低,但鉴定并发症的特定风险因素对于患者安全至关重要.

研究的目的:

为了确定与OPSCC的TOS后并发症相关的术前风险因素.
分析美国外科医生学院国家外科质量改进计划 (ACS-NSQIP) 数据库中的数据.

主要方法:

对3,489名接受OPSCC (2010-2021) 的TOS患者进行了回顾性队列分析.
收集了手术前的风险因素,并分析了30天的再入院,重新手术,出血和死亡率.
使用单变量和多变量分析来确定风险因素的关联.

主要成果:

这项研究包括3,489名患者 (平均年龄为60.6岁,81.5%是男性).
30天死亡率为0.7% (24例死亡),再入院和重新手术率分别为8.9%和5.8%.
吸烟,糖尿病,充血性心力衰竭 (CHF) 和美国麻醉学会 (ASA) 3+与重新入院,重新手术和出血的风险增加有显著关联.

结论:

对口腔状细胞癌 (OPSCC) 的口腔外科手术 (TOS) 显示出良好的安全性,并低于30天的并发症率.
术前识别风险因素,如吸烟,糖尿病,心血管疾病和ASA 3+,对于减轻潜在的并发症至关重要.

关键词:

发生出血发生出血这是口腔喉癌.再接纳是指重新接纳的情况.重新启动的运行情况.透口手术是通过口腔进行的手术.

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