媒介化手术对喉喉逆流在患有喉缺陷的患者的影响:初步研究
Sriprachodaya Gaddam1, Trevor DeSilva1, Zachary Funk1
1Department of Otolaryngology - Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, PA.
Journal of voice : official journal of the Voice Foundation
|March 11, 2025
概括
对于喉功能不充分的媒介化程序并没有显著改善喉回流 (LPR) 症状. 虽然一些反流量措施有所改善,但需要进一步的研究来证实对LPR症状的益处.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
背景情况:
- 喉缺陷通常与喉回流 (LPR) 一起发生.
- 媒介化程序用于管理喉功能不充分.
研究的目的:
- 为了确定喉缺陷的媒介化程序是否也可以缓解喉回流 (LPR) 症状.
- 评估媒介化对反流发现得分 (RFS) 和pH阻抗测试的影响.
主要方法:
- 对被诊断患有喉缺陷和LPR的患者进行了回顾性图表审查.
- 在接受媒介化手术的患者 (n=39) 和没有接受媒介化手术的患者 (n=40) 之间,治疗前和治疗后的逆流检测分数 (RFS) 的比较.
- 在治疗前和治疗后对24小时pH阻抗结果的分析,如有.
主要成果:
- 在媒体化和非媒体化组内或之间没有观察到RFS的显著变化.
- 接受媒介化的患者在24小时pH阻抗测试中表现出改善的趋势,近接传感器的总和垂直反流事件减少.
- 在pH阻抗测试中的这些改进没有达到统计学意义 (P=0.12和P=0.17).
结论:
- 对于喉功能不充分的媒介化程序可能不能有效地改善LPR的喉表现.
- 建议对更大的患者队伍进行进一步的研究,以确定治疗喉功能不全对LPR症状的潜在益处.
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