伴随性疾病和气道假肢 双边声依赖 动不动
Christopher McKenzie1, Ian Mandybur1, Kendra Walker1
1Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
The Annals of otology, rhinology, and laryngology
|November 11, 2025
概括
这项研究发现,患有后侧喉狭窄症加上额外气道狭窄症 (PGS+) 的患者年轻,接受了更多的手术,但不同类型的双边声不运动 (BVFI) 的脱和假肢依赖率相似. 对PGS+复杂性的进一步研究是有必要的.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 喉腔病理学 喉腔病理学
- 手术病理学手术病理学
背景情况:
- 双边声不运动 (BVFI) 包含后侧喉狭窄 (PGS) 和双边声麻 (BVFP).
- 在长时间输入管的情况下,后侧喉狭窄 (PGS) 可能涉及额外的呼吸道狭窄 (PGS+).
- 对于孤立的PGS (iPGS),PGS+和孤立的BVFP (iBVFP) 存在有限的比较数据.
研究的目的:
- 为了比较人口统计数据,呼吸道假肢 (AP) 的依赖,以及失败脱管的风险因素.
- 分析孤立的PGS (iPGS),附加狭窄的PGS (PGS+) 和孤立的BVFP (iBVFP) 的患者的结局.
主要方法:
- 一个高等学术机构的回顾性案例系列 (2011-2021年).
- 包括被诊断患有BVFI的118名患者.
- 单变量分析以确定影响脱和AP依赖的因素.
主要成果:
- PGS+患者年轻 (P=.009) 并且接受的呼吸道手术比 iPGS 或 iBVFP 多.
- 在所有组中,脱率都相似 (P=.739).
- 呼吸道假肢依赖率在PGS+中为39%,而在孤立条件中为24-26% (P=.105);活跃吸烟与iPGS中AP依赖率相关 (P=.020).
结论:
- 超过一半的PGS患者患有额外的狭窄 (PGS+),呈现出独特的人口和外科手术特征.
- 尽管存在差异,但BVFI子组之间没有观察到AP依赖或脱率的统计学上显著差异.
- 建议进一步调查PGS+管理的具体挑战.
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