鼻のポリープと鼻腔炎
JAMA
|December 13, 1997
まとめ
鼻のポリープや鼻腔炎は複雑な病原性を伴い,アレルギーは主な原因ではない. 治療にはステロイド,抗生物質,そして潜在的に抵抗性の症例の手術が含まれます.
科学分野:
- 耳鼻喉科 (Otorhinolaryngology) は,耳鼻喉科 (Otorhinolaryngology) を専門とする医療機関である.
- 免疫学 免疫学とは
背景:
- 鼻のポリープは長い歴史がありますが,その発生率と病原性は不明です.
- アレルギーはしばしば関与しますが,証拠は,それが鼻ポリープの主要な原因ではないことを示唆しています.
- 慢性性鼻炎は,米国では,微妙な臨床的な表現を持つ一般的な状態です.
研究 の 目的:
- 鼻のポリープと慢性鼻炎の病原性を明らかにするために.
- 副鼻腔炎の現在の医学的および外科的治療選択肢をレビューする.
- 慢性性鼻炎の診断方法を強調する.
主な方法:
- 鼻のポリープと鼻腔炎に関する既存の文献のレビュー.
- 鼻炎の病原性に貢献する要因の議論,骨の大きさ,分泌物,粘膜作用を含む.
- 診断画像技術の評価,特に限られた冠状のコンピュータトモグラフィー.
主要な成果:
- アレルギーが鼻のポリープの主要な原因であるという一般的な信念に疑問を投げかける証拠があります.
- 医療管理には,全身および鼻内ステロイドが含まれています.
- コンピュータトモグラフィーは,鼻膜炎の決定的で費用対効果の高い診断ツールです.
結論:
- 副鼻炎の病原性には,骨の大きさの減少,分泌の保持,および粘膜細胞の作用の低下が含まれます.
- 迅速かつ適切な抗生物質治療は,鼻膜炎において極めて重要です.
- 機能内視鼻腔外科手術は,薬剤耐性鼻炎の好ましい選択肢です.
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