摘要
目的:探讨闭合器在全喉全切术中的临床应用。方法:选取2016年1月-2018年6月本院收治的喉癌患者共60例,按照随机数字表法分为观察组(n=30)和对照组(n=30),观察组给予全喉切除后闭合器吻合,对照组给予全喉切除术后手工吻合。比较两组手术时间、术后康复情况及术前和术后1个月生活质量情况。结果:观察组手术时间显著短于对照组,咽瘘发生率显著低于对照组,差异均有统计学意义(P<0.05)。术后1个月两组物质生活评分、躯体健康评分、心理健康评分、社会功能评分均显著高于术前,且观察组各评分均显著高于对照组,差异均有统计学意义(P<0.05)。结论:闭合器可以节省全喉全切术的手术时间,降低咽瘘发生率,改善患者术后生活质量,临床应用效果确切。
Objective: To explore the clinical application of closure device in total laryngectomy. Method: A total of 60 patients with laryngeal cancer admitted to our hospital from January 2016 to June 2018 were selected and divided into the observation group(n=30) and the control group(n=30) according to random number table method. The observation group was given closure device anastomosis after total laryngectomy, while the control group was given manual anastomosis after total laryngectomy. The operation time, postoperative rehabilitation, and the quality of life before and 1 month after operation of two groups were compared. Result: The operation time of the observation group was significantly shorter than that of the control group, and the incidence of pharyngeal fistula was significantly lower than that of the control group, the differences were statistically significant(P<0.05). The material life score, physical health score, mental health score and social function score of two groups 1 month after operation were significantly higher than those of before operation, and the observation group were significantly higher than those of the control group, the differences were statistically significant(P<0.05). Conclusion: Closure device can save the operation time of total laryngectomy, reduce the incidence of pharyngeal fistula, improve the quality of life after operation, and the clinical application effect is exact.
作者
罗克勍
田克强
肖富福
谢鋆晖
蓝小林
LUO Keqing;TIAN Keqiang;XIAO Fufu;XIE Junhui;LAN Xiaolin(Ganzhou Cancer Hospital,Ganzhou 341000,China)
出处
《中国医学创新》
CAS
2019年第34期127-129,共3页
Medical Innovation of China
基金
赣州市指导性科技计划任务项目(GZ2015ZSF296)
关键词
闭合器
全喉全切术
喉癌
Closure device
Total laryngectomy
Laryngeal cancer
