耐火性鼻炎的长期治疗结果 药物用鼻腔外科手术管理
William Li1, Shibalik Misra1, Richard John Harvey1,2
1Rhinology and Skull Base Research Group, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia.
鼻腔手术通过恢复气流来有效治疗耐药性鼻炎 (RM),从而导致长期停止消血药并改善大多数患者的症状. 这种手术方法在医疗治疗失败时提供了可行的解决方案.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 鼻科 鼻科是指鼻科的专家.
- 手术创新 在外科创新.
背景情况:
- 药用鼻炎 (RM) 对耐火病例的治疗选择有限.
- 在RM的医疗管理失败后,手术干预的有效性尚未得到充分证实.
- 粘膜接触点和受限制的鼻气流往往导致持续的脱血剂依赖.
研究的目的:
- 为了评估患有医疗耐药性鼻炎的患者鼻腔手术的长期结果.
- 评估手术对消血剂使用,鼻腔症状和整体生活质量的影响.
主要方法:
- 一项前性队列研究,涉及接受鼻腔手术的耐火性RM患者.
- 耐药性RM被定义为每天使用鼻腔除凝剂至少四周,尽管医疗治疗.
- 使用鼻腔结局测试 (SNOT22),鼻腔症状得分 (NSS) 和药物使用来测量结果,随访时间至少为12个月.
主要成果:
- 91.1%的患者在手术后完全停止了消血剂的使用,5.4%的患者间歇使用.
- 与戒烟组相比,持续使用降血剂的患者出现了更高的同时性喘率和症状改善的减少.
- 手术导致SNOT22和NSS得分显著改善,表明症状控制更好.
结论:
- 鼻腔气道透光的手术恢复与耐火性RM中长期停止消血剂有关.
- 鼻腔手术为医疗耐药性鼻炎患者提供了显著的症状改善.
- 这项研究强调了手术作为一种成功的治疗模式,用于持续的RM不响应医学疗法.
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