同时进行分鼻整形和内镜鼻腔外科手术改善生活质量
Olcay Cem Bulut1,2,3, Burkard M Lippert2, Frank Riedel3
1Department of Otorhinolaryngology, Head and Neck Surgery, Heidelberg University Hospital, Heidelberg, Germany.
分鼻整形 (SRPL) 和功能性内镜外科手术 (FESS) 结合改善生活质量. 同时手术的患者满意度与单一手术相比相当,这使得它成为符合条件的患者的可行选择.
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.
- 外科手术的结果
背景情况:
- 鼻腔切除术 (SRPL) 和功能性内镜外科手术 (FESS) 是缓解鼻腔症状和提高生活质量 (QoL) 的常见程序.
- 虽然结合SRPL和FESS的安全性已经确立,但对并发程序的患者满意度和QOL结果仍未得到充分研究.
研究的目的:
- 为了前性地评估和比较患者报告的单独FESS,单独SRPL和联合SRPL-FESS手术后的QoL结果.
- 为了确定与单个手术相比,并发手术是否会影响QoL的增加.
主要方法:
- 一项前性研究,涉及接受单独FESS (n=57),单独SRPL (n=148) 或联合SRPL-FESS (n=62) 的患者.
- 用经过验证的仪器进行了术前和术后一年的疾病特异性 QoL 评估:用于 SRPL 的鼻整形结果评估 (ROE) 和功能性鼻整形结果清单 (FROI-17) 以及用于 FESS 的中鼻结果测试-22 (SNOT22).
主要成果:
- 所有手术组在手术后的QoL显著改善 (p < 0.01).
- 与单个SRPL组相比,同时进行手术的组略有,但在统计学上显著,ROE得分的改善较小 (p=0.02).
- 在组合和单一手术组之间没有观察到FROI-17 (p=0.08) 或SNOT22 (p=0.26) 改善的显著差异.
结论:
- 无论是单独的SRPL和FESS,还是联合的SRPL-FESS手术,都能有效地改善疾病特异性的生活质量.
- 合并SRPL-FESS手术可以提供给合适的患者,而不会影响单个手术可以实现的整体QOL益处.
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