CAJ | 학술논문

[目的]分析1998至2010年间111例喉部分切除术与术后肺部并发症相关的危险因素.[方法]回顾性病例分析,评估喉部分切除术术后肺部并发症的发生与其影响因子的相关程度,影响因子包括年龄,性别,慢性肺疾病,吸烟状态,肿瘤大小,肿瘤分期,术前放疗,手术范围,手术重建方法,肺功能检查.[结果]36例患者(32.4％)发生肺部并发症,与年龄(P=0.002)、慢性肺疾病(P=0.005)、吸烟状态(P=0.02)有显著相关性；手术方式中环状软骨舌骨吻合术(P=0.008),同侧杓状软骨切除术(P=0.03),亦有相关性.多变量分析显示肺部并发症与年龄(60～69岁之间比值比[OR]为3.8,95％置信区间[CI]为1.2～11.7; 70 ～ 79岁之间OR为7.1; 95％ CI为1.3～37.6)和环状软骨舌骨吻合术术式(OR,4.4; 95％ CI,1.1～18.1)具有显着相关性.[结论]60岁以上年龄和环状软骨舌骨吻合术术式是环状软骨上喉部分切除术后发生肺部并发症的高危因素.
[목적]분석1998지2010년간111례후부분절제술여술후폐부병발증상관적위험인소.[방법]회고성병례분석,평고후부분절제술술후폐부병발증적발생여기영향인자적상관정도,영향인자포괄년령,성별,만성폐질병,흡연상태,종류대소,종류분기,술전방료,수술범위,수술중건방법,폐공능검사.[결과]36례환자(32.4％)발생폐부병발증,여년령(P=0.002)、만성폐질병(P=0.005)、흡연상태(P=0.02)유현저상관성； 수술방식중배상연골설골문합술(P=0.008),동측표상연골절제술(P=0.03),역유상관성.다변량분석현시폐부병발증여년령(60～69세지간비치비[OR]위3.8,95％치신구간[CI]위1.2～11.7; 70 ～ 79세지간OR위7.1; 95％ CI위1.3～37.6)화배상연골설골문합술술식(OR,4.4; 95％ CI,1.1～18.1)구유현착상관성.[결론]60세이상년령화배상연골설골문합술술식시배상연골상후부분절제술후발생폐부병발증적고위인소.
[Objective]To determine the risk factors related to postoperative pulmonary complications in patients who underwent partial laryngectomy.[Methods]Retrospective analysis of medical records was carried out.111 patients who underwent partial laryngectomy from March 1,1998 to October31,2010 were studied and analyzed.Relation.ship between postoperativepulmonary complications and perioperative risk factors,suchas age,sex,chronic lung disease,smoking status,tumor site,tumor stage,preoperative irradiation,extent of surgery,reconstruction method,and pulmonary function tests were all observed and evaluated.[Results]36 patients (32.4％) were found to have postoperative pulmonary complications.Significant correlations were found among age (P =0.002),chronic lung disease (P =0.005),smoking status (P =0.02),and also the postoperative pulmonary complications.Cricohyoidopexy (P=0.008) and ipsilateral arytenoidectomy (P=0.03) were associated with postoperative pulmonary complications.The multivariate analysis showed a significant association of the postoperative pulmonary complications with age (odds ratio[OR],3.8; 95％ confidence interval [CI],1.2- 11.7 in patients who were 60 to 69 years old;and OR,7.1;95％ CI,1.3-37.6 in patients 70 to 79 years old) and cricohyoidopexy (OR,4.4; 95％ CI,1.1-18.1).[Conclusion]Patients'over 60 years of age and patients with cricohyoidopexy arethe high risk factors of having postoperative pulmonary complications after supracricoid partial laryngectomy.