Background Resection of tumors arising from the tongue base and the parapharyngeal space is difficult for exposure and manipulation because of their obscure location. The aim of this study was to evaluate the surgical...Background Resection of tumors arising from the tongue base and the parapharyngeal space is difficult for exposure and manipulation because of their obscure location. The aim of this study was to evaluate the surgical approach of the pre-mental foramen mandibulotomy for resecting the tumors of tongue base and parapharyngeal space. Methods Fifty-one patients with tumors of tongue base and parapharyngeal space were treated using the mandibulotomy approach on the pre-mental foramen. In the present study, this technique was described in detail. The patients were followed up for three months to six years with a mean of 26 months. Results The tumors of tongue base and parapharyngeal space could be exposed clearly and be resected radically by surgical approach of pre-mental foramen mandibulotomy. The surgical complications were reduced. Conclusions Compared to other surgical approaches, such as lateral mandibulotomy, midline mandibulotomy, the suprahyoid parapharyngeal approach, and paramedian mandibulotomy, we found that the pre-mental foramen mandibulotomy is the ideal choice for resecting the tumors of tongue base and parapharyngeal space.展开更多
目的探讨基于快速康复外科理念(enhanced recovery after surgery,ERAS)的术前多维度预康复对胃肠道手术患者术后恢复及心理状态的影响。方法将2022年1月至2023年6月本院收治的55例胃肠道手术患者设为对照组,给予常规干预;将2023年7月至...目的探讨基于快速康复外科理念(enhanced recovery after surgery,ERAS)的术前多维度预康复对胃肠道手术患者术后恢复及心理状态的影响。方法将2022年1月至2023年6月本院收治的55例胃肠道手术患者设为对照组,给予常规干预;将2023年7月至2024年1月本院收治的55例胃肠道手术患者设为试验组,给予基于ERAS理念的术前多维度预康复干预。比较两组术后胃肠功能恢复情况、心理状态、认知功能及并发症发生率。结果试验组患者术后肠鸣音恢复、肛门排气、首次排便、下床活动及胃管拔除时间均早于对照组;术后3d,试验组患者总蛋白、前白蛋白、白蛋白术后3d-入院当天变化差值高于对照组;术后3d,试验组患者健康问卷抑郁量表(patient health questionnaire-9,PHQ-9)评分低于对照组,简易智能精神状态量表(mini-mental state examination,MMSE)评分术后3d-入院当天变化差值高于对照组;试验组患者术后并发症发生率低于对照组,差异具有统计学意义(均P<0.05)。结论基于ERAS理念的术前多维度预康复能促进胃肠道手术患者术后胃肠功能快速恢复,改善心理状态及认知功能,减少并发症发生。展开更多
文摘Background Resection of tumors arising from the tongue base and the parapharyngeal space is difficult for exposure and manipulation because of their obscure location. The aim of this study was to evaluate the surgical approach of the pre-mental foramen mandibulotomy for resecting the tumors of tongue base and parapharyngeal space. Methods Fifty-one patients with tumors of tongue base and parapharyngeal space were treated using the mandibulotomy approach on the pre-mental foramen. In the present study, this technique was described in detail. The patients were followed up for three months to six years with a mean of 26 months. Results The tumors of tongue base and parapharyngeal space could be exposed clearly and be resected radically by surgical approach of pre-mental foramen mandibulotomy. The surgical complications were reduced. Conclusions Compared to other surgical approaches, such as lateral mandibulotomy, midline mandibulotomy, the suprahyoid parapharyngeal approach, and paramedian mandibulotomy, we found that the pre-mental foramen mandibulotomy is the ideal choice for resecting the tumors of tongue base and parapharyngeal space.
文摘目的探讨基于快速康复外科理念(enhanced recovery after surgery,ERAS)的术前多维度预康复对胃肠道手术患者术后恢复及心理状态的影响。方法将2022年1月至2023年6月本院收治的55例胃肠道手术患者设为对照组,给予常规干预;将2023年7月至2024年1月本院收治的55例胃肠道手术患者设为试验组,给予基于ERAS理念的术前多维度预康复干预。比较两组术后胃肠功能恢复情况、心理状态、认知功能及并发症发生率。结果试验组患者术后肠鸣音恢复、肛门排气、首次排便、下床活动及胃管拔除时间均早于对照组;术后3d,试验组患者总蛋白、前白蛋白、白蛋白术后3d-入院当天变化差值高于对照组;术后3d,试验组患者健康问卷抑郁量表(patient health questionnaire-9,PHQ-9)评分低于对照组,简易智能精神状态量表(mini-mental state examination,MMSE)评分术后3d-入院当天变化差值高于对照组;试验组患者术后并发症发生率低于对照组,差异具有统计学意义(均P<0.05)。结论基于ERAS理念的术前多维度预康复能促进胃肠道手术患者术后胃肠功能快速恢复,改善心理状态及认知功能,减少并发症发生。
