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功能性结果和恢复指标的元分析,比较跨口腔机器人手术和 (化疗) 放射治疗

Simpson Shiu Chung Tam¹, Nihal Sogandji¹, Muzammil Arif Din Abdul Jabbar¹

¹School of Clinical Medicine, University of Cambridge, Cambridge, UK.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

|December 7, 2025

概括

透口机器人手术 (TORS) 在头癌症方面表现有前途,与 (化疗) 放射治疗相比,减少了食管的使用和长期疼痛. 然而,12个月后吞结果可能会更差.

科学领域:

在瘤学瘤学.
手术创新在外科创新.
头部和部癌症治疗治疗

背景情况:

透口机器人手术 (TORS) 和 (化疗) 放射治疗是头癌的常见治疗方法.
患者在吞,输卵管依赖,气管切开和疼痛方面的结果对生活质量至关重要.

研究的目的:

为了比较TORS和 (化疗) 放射治疗之间的患者结果.
评估吞功能,食管依赖,气管切开术使用,疼痛和恢复指标.

主要方法:

进行了系统的元分析.
搜索了Medline,EMBASE,科学网和柯克兰图书馆的数据库.
包括16项研究,涉及2185名患者.

主要成果:

在6个月和12个月后,TORS组的胃口管使用量减少.
在TORS组 (MD Anderson Dysphagia Index) 中,在12个月内观察到更差的吞结果.
长期疼痛水平在TORS组中通常较低.

结论:

托尔斯证明了在具有挑战性的解剖位置和低度瘤中治疗瘤的潜力.
研究中的方法不一致性需要标准化报告和进一步的随机对照试验.
临床指南可能会从对TORS和 (化疗) 放射治疗结果的更好理解中受益.

关键词:

头部和部癌症头部和部癌症头部和部手术手术手术手术.瘤学在瘤学方面.口腔喉皮状细胞癌的发生.机器人手术是机器人手术的一种方式.吞结果耳鼻喉科耳鼻喉科通过口腔进行机器人手术.

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