声门上型癌经口激光手术与经颈入路手术的功能预后比较
Functional outcomes of transoral laser surgery of supraglottic carcinoma compared with a transcervical approach.
作者信息
Cabanillas Rubén, Rodrigo Juan Pablo, Llorente Jose Luis, Suárez Vanessa, Ortega Primitivo, Suárez Carlos
机构信息
Department of Otorhinolaryngology, Hospital Universitario Central de Asturias, and Instituto Universitario de Oncología del Principado de Asturias, Oviedo, Spain.
出版信息
Head Neck. 2004 Aug;26(8):653-9. doi: 10.1002/hed.20063.
BACKGROUND
Several functional advantages have been described for the transoral laser supraglottic laryngectomy as compared with open techniques. However, comparative studies have been rarely performed.
METHODS
Functional results in 26 patients treated with a transoral approach were retrospectively compared with those of a comparable series of 26 patients who underwent a transcervical approach.
RESULTS
The only significant differences found between the two groups were a lesser number of temporary tracheotomies and a shorter time of removal of the nasogastric tube in the laser group. No significant differences were found in the incidence of postoperative complications, hospital stay, and swallowing capacity.
CONCLUSIONS
The rate of functional problems after transoral laser surgery did not greatly decrease compared with the rate after the conventional procedure. The mayor advantage of the transoral approach was the lower incidence of temporary tracheotomies.
背景
与开放手术技术相比，经口激光声门上喉切除术具有若干功能优势。然而，很少进行比较研究。
方法
回顾性比较了26例经口入路治疗患者的功能结果与26例接受经颈入路的类似患者系列的功能结果。
结果
两组之间唯一显著的差异是激光组的临时气管切开术数量较少，鼻胃管拔除时间较短。术后并发症发生率、住院时间和吞咽能力方面未发现显著差异。
结论
与传统手术相比，经口激光手术后的功能问题发生率并未大幅降低。经口入路的主要优势是临时气管切开术的发生率较低。
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