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在开放的部分水平喉膜切除术中应用子层可以改善吞功能
Leyan Wang1, Fan Yang2, Hongxun Gong2
1Xi'an Jiaotong University, Health Science Center, Xi'an, China.
The Journal of craniofacial surgery
|January 26, 2026
概括
在开放的水平部分喉切除术后,潜层片的重建显著改善了吞功能,并减少了吸入. 这种外科手术技术是患有喉癌的患者有价值的选择.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 语音和语言病理学 语言病理学
背景情况:
- 开放式水平部分喉切除术 (OPHL) 是一种用于治疗喉癌的手术治疗方法.
- 手术后吞功能障碍是OPHL后的一个常见并发症.
- 改善吞功能对于患者的康复和生活质量至关重要.
研究的目的:
- 为了评估在OPHL期间下肢重建对术后吞功能的影响.
- 为了比较经典OPHL,横口激光微手术和OPHL与脑下片重建之间的吞结果.
- 在不同的手术方法后评估语音功能和呼吸困扰.
主要方法:
- 追溯研究72名患有supraglottic喉癌的患者.
- 患者被分为三组:经典的OPHL (n=30),横口激光微手术 (n=18) 和带有脑下片重建的OPHL (n=24).
- 吞功能通过水吞测试 (WST) 和MD Anderson消化障碍清单 (MDADI) 进行评估;语音功能通过语音障碍指数-10;记录了呼吸困难.
主要成果:
- 与经典的OPHL和横口激光微手术组相比,潜膜重建组在WST上显示出明显优异的吞功能.
- 较高的MDADI得分,表明更好的吞功能,在脑下片重建组中观察到.
- 在这三个组中,语音功能没有显著差异.
结论:
- 在OPHL期间进行的脑下片重建显著提高了术后吞功能.
- 这种技术有效地减少了吸血症状,改善了患者的治疗结果.
- 脑下片重建是对喉癌的有价值的手术选择,需要进一步调查.
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