将手术记录转化为声带显微手术后振动恢复的预测因子：一项概念验证研究

文献信息

中文摘要

目的： 描述从声带显微手术记录中提取的四项基于病变和基于切口的定量指标，用于构建声带振动结局的预测模型。
方法： 对30例因良性声带病变接受声带显微手术的患者计算四项指标：切口大小比率指数（ISRI）、病变面积指数（LAI）、切口位置指数（IPI）和手术记录评分。采用多元线性回归评估这些指标与术后频闪喉镜评分的关联。
结果： ISRI与黏膜波恢复呈负相关（β = -1.87，P = 0.027），而LAI呈正相关（β = 13.64，P = 0.026）。由于抑制模式，这些效应仅在多变量分析中出现。IPI和手术记录评分在当前样本中无预测价值。
结论： 本概念验证研究表明，将手术记录转化为手术结局的定量预测因子具有可行性，为未来研究提供了方法学基础。

英文摘要

OBJECTIVES: To describe four lesion-based and incision-based quantitative metrics extracted from operative documentation of phonomicrosurgery for a predictive model of vocal fold vibratory outcomes.
METHODS: Four metrics were computed for 30 patients undergoing phonomicrosurgery for benign vocal fold lesions: Incision Size Ratio Index (ISRI), Lesion Area Index (LAI), Incision Position Index (IPI), and operative note score. Associations with postoperative stroboscopic ratings were evaluated using multiple linear regression.
RESULTS: ISRI was negatively associated with mucosal wave recovery (β = -1.87, P = 0.027), while LAI showed a positive association (β = 13.64, P = 0.026). These effects emerged only in multivariable analysis due to a suppression pattern. IPI and operative note scores showed no predictive value in the current sample.
CONCLUSION: This proof-of-concept demonstrates the feasibility of transforming operative documentation into quantitative predictors of surgical outcomes, providing a methodological foundation for future investigation.