一项关于口腔重建手术中重新开始食和发病率的观察性研究
Fred Chuang1, Andrew Jones2, Michael Wagels3
1Logan Hospital and Princess Alexandra Hospital, Otolaryngology Registrar, Brisbane, Australia.
概括
口底切除术的外科复杂性会影响食时间和并发症. 然而,广泛的切除和复杂的重建并没有显著改变患者手术后的营养状况.
科学领域:
- 口腔和牙面部外科手术
- 手术瘤学手术瘤学
- 重建性手术是一种重建性手术.
背景情况:
- 口腔地板切除 (FOM) 带来了重大的重建挑战.
- 延迟口服养是一种减轻手术并发症的策略.
- 这项研究研究了切除程度,重建,养和营养之间的相互作用.
研究的目的:
- 探索FOM中切除程度 (EOR) 和口腔重建之间的关系.
- 分析自由重建对养实践和营养结果的影响.
- 确定手术复杂性是否影响并发症率和营养状况.
主要方法:
- 一项观察性研究,对接受口腔再建后瘤切除的患者进行观察.
- 患者按 EOR 分类:非FOM,接近FOM,扩展FOM和细分下切除术.
- 单变量分析评估了并发症率,食方案和营养标志物.
主要成果:
- 切除的程度显著影响了开始养的时间 (p=0.044).
- 患病率随着EOR增加而升级 (p=0.001) 并与重建类型 (p=0.002) 相关.
- 在EOR和身体质量指数 (BMI) 或术后血清白蛋白变化之间没有发现显著的相关性.
结论:
- 通过EOR确定的外科复杂性会影响后重建食的开始.
- 虽然复杂的手术与较高的发病率相关,但它们似乎不会对营养状况产生负面影响.
- 在FOM重建中,养实践应根据外科复杂性量身定制.
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