甲状腺切除术后的声音和吞变化的比较,采用无气体的横,横口和传统的横方法:一个网络的元分析
Van Cuong Nguyen1, Chang Myeon Song1, Yong Bae Ji1
1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, Republic of Korea.
Annals of surgical oncology
|April 15, 2025
概括
使用无气体交叉口 (GTAA) 和横口 (TOA) 方法的远程接入甲状腺切除术显示出比传统的横口 (CTA) 方法更好的语音和吞结果. 这些发现凸显了微创甲状腺手术的潜在优势.
科学领域:
- 内分泌学和甲状腺手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
背景情况:
- 甲状腺切除术是一种常见的外科手术.
- 最少侵入性技术的目的是减少发病率.
- 评估语音和吞结果对于患者甲状腺切除术后的生活质量至关重要.
研究的目的:
- 为了比较甲状腺切除术后的语音和吞结果,使用无气交叉口 (GTAA),横口 (TOA) 和常规横 (CTA) 方法.
- 评估远程接入甲状腺切除术技术的有效性.
主要方法:
- 在PubMed,EMBASE和Cochrane图书馆数据库中进行了系统的文献搜索,截至2024年9月.
- 对14项涉及1723名患者的比较研究进行了网络元分析.
- 分析了语音障碍指数 (VHI) -10,声学参数和吞障碍得分 (SIS) -6.
主要成果:
- 这三种甲状腺切除术方法都显示了语音参数的初始恶化 (VHI-10,最高频率,频率范围).
- 与CTA相比,GTAA和TOA在手术后3个月内表现出优异的语音结果.
- 在手术后3个月,GTAA显示了明显更好的吞结果 (SIS-6),而不是TOA和CTA.
结论:
- 远程接入甲状腺切除术 (GTAA和TOA) 与传统的宫横切除术相比,提供了优越的术后语音和吞结果.
- 需要进一步研究更大的样本大小和更长的随访时间来证实这些发现.
- 这些结果表明,对于甲状腺切除术患者来说,微创方法的潜在好处.
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