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基于办公室的喉外科手术后,逆侧反应性病变的疾病回归
Abdul-Latif Hamdan1, Lana Ghzayel1, Lucien Khalil1
1Department of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
The Laryngoscope
|January 21, 2026
概括
逆侧反应性病变 (CRL) 在声的息肉和囊中很常见,影响60%的患者. 这些病变在办公室内喉手术 (OBLS) 后显著回归,表明治疗结果是成功的.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 喉病理学 喉病理学
- 声音障碍 声音障碍
背景情况:
- 声的息肉和囊可以导致对侧反应性病变 (CRLs).
- 了解CRL的流行和形态对于有效管理至关重要.
- 基于办公室的喉手术 (OBLS) 为喉病理提供了一种最少的侵入性方法.
研究的目的:
- 为了确定声CRL的流行率和形态,在有声息肉或囊的患者.
- 在OBLS后评估CRL的疾病回归.
- 为了比较不同OBLS技术管理的CRL的治疗结果.
主要方法:
- 病历和视频记录的回顾性审查的患者接受OBLS声的息肉或囊.
- 两个独立的耳鼻喉科医生对CRL流行,形态和回归的评估.
- 对人口统计数据和治疗结果的分析,包括激光和类固醇注射疗法.
主要成果:
- 在研究人群中,CRL的流行率为60%.
- 大多数CRL本质上是纤维的.
- 在OBLS后100%的病例中观察到CRL的完全或部分回归,治疗组之间没有显著差异 (蓝色激光和/或类固醇注射).
- 主要病变的显著回归与CRL回归相关.
结论:
- 反侧反应性病变是患有声息肉和囊的患者的常见发现.
- 使用蓝色激光和/或类固醇注射的OBLS有效地实现了CRL的部分或完全回归.
- 主要声病变的有效管理有助于解决相关的逆侧病变.
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