透视式跨状垂体手术不会影响术后鼻腔生活质量
Thomas Weiland1, Verena Gellner2, Prisca Pondorfer3
1Department of Otorhinolaryngology-Head and Neck Surgery, Medical University of Graz, Auenbruggerplatz 26, 8036, Graz, Austria. thomas.weiland@medunigraz.at.
概括
这项研究发现,微创性垂体外科手术保留鼻保持嗅觉功能和生活质量. 发生了客观的鼻子变化,但关键的生理功能和患者的幸福感在手术后保持稳定.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 内分泌学 在内分泌学.
背景情况:
- 内镜透鼻透鼻形手术是对垂体瘤的常见方法.
- 保护鼻腔结构,特别是轮,对于最大限度地减少术后发病率至关重要.
- 评估这种微创技术对鼻腔生理学和患者生活质量的影响至关重要.
研究的目的:
- 为了评估主观的生活质量和客观的鼻子功能后轮保护内镜下垂体手术.
- 评估嗅觉,鼻腔气流和粘膜清除的变化.
- 用验证的问卷来确定对心理健康的影响.
主要方法:
- 对20名接受内镜下垂体瘤切除的患者进行前性纵向研究.
- 在手术前和手术后3,6个月评估鼻子功能,使用鼻棒,鼻腔计量和糖过境时间.
- 评估生活质量和心理健康的方法是使用鼻腔结果测试-20 (SNOT-20) 和医院焦虑和抑郁量表 (HADS).
主要成果:
- 没有观察到嗅觉或粘膜清除的显著变化.
- 鼻腔气流显示了术后增加的非显著趋势.
- 在3个月内观察到内镜和放射学评分的显著恶化,随着时间的推移有所改善. 在SNOT-20或HADS得分中没有显著变化.
结论:
- 最少侵入性,轮保护性内镜下垂体手术表明患者患病率低.
- 尽管有客观的手术改变,鼻腔生理学 (气味,气流,粘膜清除) 在很大程度上保持不变.
- 手术后主观生活质量和心理健康保持稳定.
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