在舌头切除后使用舌下腺来重建:31名患者的经验
Meng Wang1, Fengzhi Liu2, Dongpo Li1
1Department of Stomatology, the Affiliated Hospital of Qingdao University, Qingdao, Shandong, China; School of Stomatology, Qingdao University, Qingdao, China.
概括
舌下腺 (SGF) 修复在舌癌手术后,与初级 suturing 相比,提供了更好的吞恢复. 这种舌头癌症重建技术有助于维护功能并改善患者的治疗结果.
科学领域:
- 手术瘤学手术瘤学
- 头部和部手术 头部和部手术
- 重建性手术是一种重建性手术.
背景情况:
- 舌头癌症切除通常需要重建以恢复功能.
- 初级 suturing 是一个常见的方法,但可能不会提供最佳的组织体积.
- 舌下腺 (SGF) 重建是治疗舌头缺陷的另一种方法.
研究的目的:
- 为了比较舌下腺 (SGF) 修复与舌癌切除后初级接的疗效.
- 评估语音,吞和舌头运动的功能恢复,以及捐赠部位的病态性.
主要方法:
- 这是一项双盲研究,从2020年1月到2023年12月,涉及119名T1-T2舌癌患者.
- 患者被分为两组:31人接受SGF重建,88人接受初级 suture.
- 6个月后评估的术后结果包括语音,吞,舌头运动和使用SPSS 26.0进行分析的捐赠部位疾病.
主要成果:
- 在SGF和初级组之间没有观察到语音可理解性的显著差异.
- 吞能力的恢复在SGF组明显好于初级组 (P=0.028的良好恢复,P=0.001可接受的恢复).
- SGF修复提供了必要的组织体积,保持了舌头的运动和功能能力.
结论:
- 语言下腺片的重建表明,与舌头癌症缺陷的初级合相比,在吞恢复方面取得了更好的结果.
- SGF修复是维护舌头功能和改善患者切除后生活质量的宝贵技术.
- 需要进一步的研究来优化SGF技术并最大限度地减少潜在的并发症.
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