[在老年患者中,在supraglottic水平部分喉切除术后,以防止吸入而关闭喉]
1Department of Otolaryngology Head and Neck Surgery,the Sixth Medical Center of PLA General Hospital,National Clinical Research Center for Otolaryngologic Diseases, Beijing 100048, China.
概括
喉关闭有效地防止了 supraglottic 部分喉切除术后老年患者的吸收,使得安全的口服. 这种手术技术对于管理患有喉或舌头基癌的高风险患者至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 老年医学 老年医学
背景情况:
- 经过supraglottic水平部分喉切除术的老年患者有高风险的术后吸气.
- 心血管功能障碍和肺功能受损等并发症在这个人口群体中很常见.
- 喉和舌根癌需要手术干预,通常会影响吞功能.
研究的目的:
- 为了评估关闭在预防术后吸血的有效性.
- 评估在接受supraglottic水平部分喉腔切除术的老年患者中喉关闭的安全性和功能结果.
- 为了确定关闭对手术后口服和吞功能的影响.
主要方法:
- 对12名老年患者进行了后期的病例系列分析,这些老年患者接受了带着关闭的超节水平部分喉切除术.
- 患者数据包括年龄,癌症类型 (喉上方或舌头底部),TNM阶段和并发症.
- 术后吞功能使用饮食评估工具-10 (EAT-10) 进行评估;随访包括对吸血和肺炎的监测.
主要成果:
- 12名患者中有11人恢复口服养,没有显著的吸血,平均EAT-10得分为2.42±1.71一个月后.
- 一名患者经历了痕失声,导致了吸入性肺炎,需要重新住院治疗.
- 其余11名患者没有显著的愿望;3年和5年生存率分别为7/8和5/7.
结论:
- 喉关闭是一种有效的策略,用于预防接受supraglottic水平部分喉切除术的老年患者的吸收.
- 这种技术有助于为患有喉或舌根癌的患者提供安全的口服摄入,这些患者有吸入的高风险.
- 谨慎的手术技术是必不可少的,以尽量减少并发症,如部脱.
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