预防性语音假体置换的好处:一项回顾性研究
Sławomir Okła1,2, Jakub Spałek1,2, Szczepan Kaliniak2
1Institute of Medical Science, Collegium Medicum, Jan Kochanowski University of Kielce, Kielce, Poland.
Frontiers in oncology
|July 10, 2025
概括
每三个月进行一次预防性语音假体置换 (PVPR) 显著减少气管食管 (TEF) 的并发症. 这种计划方法在管理TEF功能障碍方面比反应性替代更有效.
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
- 语音和声音恢复 语音和声音恢复
背景情况:
- 气管食道 (TEF) 功能障碍是使用语音假肢 (VP) 后的常见并发症.
- 对VP替代的管理策略已经发展,从反应性转向预防性方法.
研究的目的:
- 评估预防性语音假体置换 (PVPR) 在减少TEF功能障碍方面的疗效.
- 为了比较反应性非计划性VP替代 (UVPR) 和PVPR之间的并发症率.
主要方法:
- 在327名患者 (2017-2022) 进行了2,431次虚体皮肤替代手术的回顾性分析.
- 在实施为期3个月的PVPR协议之前 (UVPR, 2017-2019) 和之后 (PVPR, 2020-2022) 的并发症率的比较.
主要成果:
- PVPR显著降低了TEF并发症的发生率,从47% (UVPR) 降至6% (PVPR) (p<0.001).
- 对TEF并发症的发生率从425/911例下降到91/1520例.
- 在这两组中,管扩张仍然是最常见的TEF并发症.
结论:
- 每3个月定期进行预防性语音假体更换,有效地减少TEF并发症.
- 与反应性替换协议相比,PVPR为TEF功能障碍提供了优越的管理策略.
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