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外視鏡和顯微鏡在微喉外科手術的手術時間和結果上顯示了同等性
Zain Mehdi1, Vanessa Kibel2, Nishat Momin3
1Department of Otolaryngology-Head and Neck Surgery, Houston Methodist Hospital, Houston, Texas, USA.
The Laryngoscope
|July 1, 2025
概括
操作外视镜 (OE) 与微喉外科手术 (MLS) 的操作显微镜 (OM) 不逊色. 这项研究发现,这两种系统之间的操作时间或语音结果没有显著差异.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术技术 手术技术
- 微喉外科手术 微喉外科手术
背景情况:
- 三维外观镜在手术中提供了先进的可视化.
- 微喉外科手术 (MLS) 传统上使用操作显微镜 (OM).
- 操作外视镜 (OE) 是MLS的一个较新的替代方案.
研究的目的:
- 在MLS中比较OE和OM之间的操作时间.
- 评估和比较使用OE对OM的临床语音结果.
- 确定OE与OM相比的MLS的非劣势.
主要方法:
- 84名MLS患者 (2019-2024) 的回顾性,单一中心审查.
- 操作时间的比较 (设置,程序,总OR时间).
- 语音结果的评估:主观质量,OMNI声力,GRBAS等级.
主要成果:
- 在OE和OM之间,在设置时间,程序长度或总OR时间方面没有显著差异.
- 手术前的语音评估显示没有显著差异.
- 手术后的语音结果 (主观质量,OMNI,GRBAS) 在OE和OM组之间是可比的.
- 对于这两种系统,没有报告任何严重的手术内或术后并发症.
结论:
- 在微喉外科手术中,操作外显镜 (OE) 与操作显微镜 (OM) 不逊色.
- OE为OM提供了可比的操作时间和语音结果.
- 这是第一个直接比较OE和OM在MLS中的研究.
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