单阶段喉外重建后的结果,使用"不看"的输出管哲学
Andrew R Scott1,2, David O Danis1, Andrea B Clinch3
1Dr. Elie E. Rebeiz Department of Otolaryngology-Head and Neck Surgery, Tufts Medical Center, Boston, Massachusetts, USA.
概括
对于儿童的单阶段喉外重建 (SSLTR) 的"无视"方法可以避免额外的手术. 这种方法显示出良好的短期和长期结果,使其成为选择患者的安全选择.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 呼吸道重建手术 呼吸道重建手术
- 儿科重症监护中心儿童重症监护中心
背景情况:
- 单阶段喉外重建 (SSLTR) 是针对儿科气道狭窄的复杂手术.
- 传统的方法通常涉及计划的术后输管和早期内镜检查.
- 这是一个很棒的节目,这是一个很棒的节目.
- 没有看,没有看.
- 除非临床上有指示,哲学会推迟操作性气道检查.
研究的目的:
- 为了评估SSLTR的临床结果,使用SSLTR进行的SSLTR的临床结果.
- 没有看,没有看.
- 哲学. 一个哲学.
- 确定这种方法是否会影响短期和长期的结果.
- 评估二次干预和并发症的发生率.
主要方法:
- 在两个三级儿童医院进行了回顾性病例系列与图表审查.
- 包括47名接受初级或修订SSLTR的患者.
- 术后管理涉及在儿科重症监护室 (PICU) 计划的输出管,没有立即检查呼吸道.
主要成果:
- 输出管后的整体失败率为4%,在修复病例 (22%) 中的失败率明显更高.
- 23%的患者因呼吸道症状而无计划地返回手术室.
- 47%的病例需要二次内镜干预,平均需要2.2次延长.
结论:
- 这是一个很好的选择.
- 没有看,没有看.
- 通过SSLTR的哲学,可以避免不必要的外科手术.
- 这种方法在选择的儿科患者中显示出有利的短期和长期临床结果,与历史标准相比.
- 仔细的患者选择对于成功的治疗结果至关重要.
- 没有看,没有看.
- 战略 战略 战略
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