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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >The effects of prematurity on incidence of aspiration following supraglottoplasty for laryngomalacia
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The effects of prematurity on incidence of aspiration following supraglottoplasty for laryngomalacia

机译：早熟对喉乳腺成形术后抽吸术发生率的影响

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Objectives To determine if patients who were born premature have a higher incidence of aspiration following supraglottoplasty compared to patients born full term. Study Design Retrospective study. Methods Two thousand three hundred sixty (2360) patient charts from Riley Hospital for Children were reviewed retrospectively. Patients had already been treated for laryngomalacia with supraglottoplasty by Dr. Bruce Matt. Estimated weeks gestational age at birth was recorded for each patient. Prematurity was stratified as mild (32-36 weeks gestational age [WGA]), very (28-31 WGA), or extremely (<28 WGA). Patients were excluded from the study if they had suspected aspiration with chronic cough, pneumonia, chronic lung disease, or documented aspiration prior to supraglottoplasty. Results As previously shown, 75 patients (3.2%) had aspiration following supraglottoplasty. Twenty of these patients were preterm infants at birth. The rate for aspiration following supraglottoplasty for former premature infants was statistically significant (5.9%, odds ratio = 2.3, P =.0032). Conclusions Children who were born premature have a higher rate of postoperative aspiration following supraglottoplasty; however, supraglottoplasty should still be considered as treatment for laryngomalacia as the rate is still relatively low (5.9%). 21.
机译：目的为了确定早产儿与全龄儿相比在声门上成形术后是否有更高的误吸发生率。研究设计回顾性研究。方法回顾性分析莱利儿童医院的263例（2360）患者病历。布鲁斯·马特（Bruce Matt）医生已经通过声门上膜成形术对患者进行了喉软化的治疗。记录每位患者出生时的估计胎龄。早产分层为轻度（胎龄32-36周[WGA]），极度（28-31 WGA）或极度（<28 WGA）。如果患者怀疑患有慢性咳嗽，肺炎，慢性肺部疾病或经声门上成形术确诊为抽吸，则将其排除在研究范围之外。结果如前所示，有75例（3.2％）患者接受了声门上膜成形术抽吸。这些患者中有20例是早产儿。有统计学意义的前早产儿经声囊上皮成形术的吸出率有统计学意义（5.9％，比值比= 2.3，P = .0032）。结论早熟儿经肾上腺成形术术后误吸率较高;然而，由于声门上成形术的发生率仍然相对较低（5.9％），因此仍应考虑将其作为喉头软化的治疗方法。 21

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