摘要
目的探讨喉癌术后患者咽瘘发生情况和影响因素。方法收集2000年3月至2002年3月在我科住院治疗的120例喉癌患者的临床资料,按照喉癌患者是否并发咽瘘分为对照组和观察组,对收集到的临床资料进行描述性分析和二分类Logistic回归分析,找出喉癌患者并发咽瘘的影响因素。结果在120例患者中,有10例并发咽瘘,发生率为8.33%。二分类Logistic回归分析结果示,喉癌患者术后感染是喉癌患者并发咽瘘的危险因素,而部分切除手术方式和口腔冲洗是并发咽瘘的保护因素。结论喉癌患者术后并发咽瘘较常见,尽可能的采用部分切除手术方式,加强术后感染的预防和做好口腔冲洗工作,预防术后并发咽瘘。
Objective To investigate the prevalence and its influential factors of pharynx fistula after laryngostenosis. Methods The clinical data of one hundred and twenty cases of patients with pharynx fistula after laryngostenosis who were treated in the department of otolaryngol of our hospital from March 2000 to March 2002 were collected. The patients were divided into the control group and the observation group according to whether pharynx fistula occurred after laryngostenosis or not,and the collected clinical data were analysed by the SPSS16.0 for descriptive statistics and binary classification logistic regression analysis to find out the prevalence and its influential factors of pharynx fistula after laryngostenosis. Results Ten laryngeal cancer cases had pharynx fistula after laryngostenosis, the prevalence was 8. 330/oo. Binary classification logistic regression analysis showed that postoperative infection was a risk factor, hut resection operation method and oral rinse were protective factors. Conclusion The prevalence of pharynx fistula after laryngostenosis was high. We strengthen postoperative infection prevention in laryngeal cancer patients, do oral rinse and take resection operation method to reduce pharynx fistula after laryngostenosis. This is an effective means for preventing pharynx fistula after laryngostenosis in laryngeal cancer patients.
出处
《成都医学院学报》
CAS
2012年第4期596-598,共3页
Journal of Chengdu Medical College
基金
国家自然科学基金(NO:30973287)
关键词
喉癌
咽瘘
影响因素
Laryngeal cancer
Pharynx fistula
Influential factors
