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重新审视急性鼻炎的轨道并发症
Wilma T Anselmo-Lima1, Mateus R Soares1, Jefferson P Fonseca1
1Universidade de São Paulo (USP), Faculdade de Medicina de Ribeirão Preto (FMRP), Divisão de Otorrinolaringologia do Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Ribeirão Preto, SP, Brazil.
这项研究评估了急性鼻炎 (ARS) 轨道并发症的三种分类系统. 维拉斯科·克鲁兹和安塞尔莫-利马系统有效地对患者进行了分层,帮助ARS轨道问题的临床决策.
科学领域:
- 眼科医生 眼科 眼科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 放射学 放射学是一门学科.
背景情况:
- 急性鼻炎 (ARS) 的轨道并发症需要准确的分类才能有效管理.
- 现有的分类系统 (Chandler, Mortimore & Wormald,Velasco e Cruz & Anselmo-Lima) 的临床适用性各不相同.
研究的目的:
- 为了比较三个ARS轨道并发症分类系统的临床适用性.
- 确定最有效的系统来分层患者与轨道感染二次到ARS.
主要方法:
- 对143名轨道感染患者的临床数据和CT扫描进行了回顾性审查.
- 将患者分为眼细胞炎 (EC),轨道细胞炎 (OC),骨下 (SA) 和轨道 (OA) 组.
- 基于鼻模糊,住院,手术需求和并发症的群体比较.
主要成果:
- 急性鼻炎 (ARS) 很少与眼细胞炎 (EC) 相关.
- 维拉斯科·克鲁兹和安塞尔莫-利马分类有效地将患者分为临床相关的组.
- 与轨道细胞炎 (OC) 和EC相比,轨道 (OA) 和骨下 (SA) 组需要更高的住院和手术率.
结论:
- 维拉斯科·埃克鲁兹和安塞尔莫-利马分类系统是一个有效,简单和有效的工具,用于分类ARS的轨道并发症.
- 分为EC,OC,SA和OA组的分层证明了治疗计划的临床相关性.
- 准确的分类有助于管理与ARS相关的轨道感染的严重程度和结果.
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