乳腺切除术程度对良性乳腺外科手术后并发症的影响
Matteo Alicandri-Ciufelli1, Carla Cantaffa1, Francesco Maccarrone2
1Department of Otolaryngology - Head and Neck Surgery, University Hospital of Modena, Modena, Italy.
概括
最少侵入性膜外科手术,包括部分表面膜切除术 (PSP) 和囊外解剖 (ECD),与表面膜切除术 (SP) 相比,显示出类似或减少的术后并发症. 这些技术为良性腺瘤提供了更安全的方法.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 手术瘤学手术瘤学
背景情况:
- 良性腺瘤很常见,需要手术干预.
- 在椎手术期间切除组织的程度可以影响术后的结果.
- 了解不同手术技术对并发症的影响对于患者护理至关重要.
研究的目的:
- 为了评估在良性瘤手术中瘤切除程度和术后并发症之间的关系.
- 为了比较与部分表面切除术 (PSP),囊外解剖 (ECD) 和表面切除术 (SP) 相关的并发症率.
主要方法:
- 多中心回顾性研究,涉及591名因良性病变而接受切除术的患者 (2014-2020年).
- 对人口统计,瘤特征,手术细节和术后结果的分析.
- 多变量后勤回归用于识别并发症的风险因素.
主要成果:
- 与表面切除术 (SP) 相比,部分表面切除术 (PSP) 与面部神经 (FN) 麻,大耳神经 (GAN) 低听力症和弗雷综合征 (FS) 的风险较低有关.
- 囊外解剖 (ECD) 显示对FS和SP的保护,不论瘤大小如何.
- 与PSP相比,ECD患FN和GAN低听力症的风险更高.
结论:
- 与传统的SP相比,微创性切除手术 (PSP,ECD) 与可比或减少的术后并发症率有关.
- 手术技术的选择影响了特定并发症的可能性,如FN,GAN低听力症和FS.
- 这些发现支持在适当的情况下使用较少广泛的外科手术方法治疗良性膜病变.
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