Multivariate analysis of pharyngo cutaneou fistulas after larynx cancer and lower pharynx cancer surgery / 临床耳鼻咽喉头颈外科杂志
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
;
(24): 581-584, 2015.
Artículo
en Chino
| WPRIM
| ID: wpr-747760
ABSTRACT
OBJECTIVE@#To investigate the relative factors of pharyngo cutaneou fistulas after larynx cancer and lower pharynx cancer surgery.@*METHOD@#The clinical datas of 87 larynx cancer patients and lower pharynx cancer patients admitted were retrospectively analyzed. According to the type of postoperative complications all cases could be divided into pharyngo cutaneou fistulas group and no pharyngo cutaneou fistulas group. Thirty-eight kinds of factors,including age, clinical stage, plasma electrolytes level and type of procedure are in the multivariate analysis, and the variability indicators are in binary-regression analysis.@*RESULT@#Eleven patients had pharyngo cutaneou fistulas (12.64%). Univariate analysis indicated that BMI, pre-operative serum potassium, operation time, cervical lymph dissection, post-operative prealbumin, post-operative hemoglobin, infection and delayed union of incision were the risk factors of pharyngo cutaneou fistulas (P < 0.05). Logistic stepwise regression analysis indicated that post-operative prealbumin and operation time were the independent risk factors.@*CONCLUSION@#To avoid pharyngo cutaneou fistulam, it is very necessary to correct electrolyte disorder and negative nitrogen balance. To shorten the operation time, to avoid incision infection and delayed union were helpfulness, too.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Patología
/
Faringe
/
Complicaciones Posoperatorias
/
Cirugía General
/
Procedimientos Quirúrgicos Otorrinolaringológicos
/
Neoplasias Faríngeas
/
Neoplasias Laríngeas
/
Análisis Multivariante
/
Estudios Retrospectivos
/
Fístula del Sistema Digestivo
Tipo de estudio:
Estudio observacional
/
Factores de riesgo
Límite:
Humanos
Idioma:
Chino
Revista:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
Año:
2015
Tipo del documento:
Artículo
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