比较视频光镜和患者报告的吞在ACDF手术后的结果
R Brynn Jones-Rastelli1,2, Milan R Amin2, Mridula Anandhakrishnan1
1Department of Communicative Sciences and Disorders, New York University, New York, USA.
The Laryngoscope
|July 28, 2025
概括
患者报告的结果和视频光学吞研究显示,在前椎间盘切除和融合 (ACDF) 手术后,结果不同. 吞障碍可能并不总是与ACDF后报告的吞障碍症状一致.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 语音语言病理学 语言病理学
背景情况:
- 前椎切除和融合 (ACDF) 是一种常见的外科手术程序.
- 手术后的消化不良和吞困难是ACDF后的潜在并发症.
- 在ACDF后评估吞功能和患者经验对于恢复至关重要.
研究的目的:
- 为了比较视频光镜吞研究 (VFSS) 的发现与患者报告的结果工具 (PROs) 在ACDF之后.
- 评估ACDF对吞功能和吞障碍症状的影响.
- 分析客观的吞测量和主观的患者报告之间的对齐.
主要方法:
- 对21名ACDF患者前性收集的数据的二次分析.
- VFSS数据包括吞毒性动态成像等级 (DIGEST) 和MBSImP得分.
- 在手术前和手术后收集的PRO包括巴扎斯失症量表,EAT-10,SWAL-QoL和HSS-DDI.
主要成果:
- 在手术后六周,ACDF手术显著恶化了吞结果.
- 与DIGEST相比,患者报告的结果工具表明术后患病率和吞问题的发生率较高.
- 临床上有意义的变化在PROs和DIGEST之间是可比的,但个案相关性不一致.
结论:
- 在ACDF后,客观的身体吞功能和主观的患者报告的吞障碍症状之间存在差异.
- 缺食症症状的存在或不存在可能与ACDF后观察到的身体障碍没有直接关联.
- 这凸显了在ACDF恢复评估中考虑客观和主观措施的重要性.
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