对患有空鼻综合征的患者干预后结果的评估
Do Hyun Kim1, Sung Won Kim1, Mohammed Abdullah Basurrah2
1Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
The Laryngoscope
|September 26, 2023
概括
较低的轮/介质增大显著改善患有空鼻综合征 (ENS) 的患者的症状. 这种程序还可以缓解相关的焦虑和抑郁,提供长期的缓解.
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:
- 空鼻综合症 (ENS) 呈现耐火性症状,影响生活质量.
- 目前对ENS的治疗选择有限,需要对外科手术进行评估.
研究的目的:
- 系统地审查和元分析下层轮/中管增强对ENS症状的影响.
- 评估这种手术方法在改善患者报告结果方面的有效性.
主要方法:
- 在六个主要数据库 (PubMed,Cochrane,Embase,Web of Science,SCOPUS,Google Scholar) 进行了全面的搜索,截至2022年12月.
- 检索的研究的元分析,评估在ENS患者下层轮/骨干增大后患者报告的结果.
主要成果:
- 在鼻腔结局测试,空鼻综合征6项问卷 (ENS6Q) 和增加后的抑郁症得分中观察到显著改善.
- 虽然最初的焦虑改善没有统计学意义,但在3,6个月和>12个月后发现了显著的减少.
- 较低的轮/介质增大显示了ENS鼻腔症状的长期缓解,超过了ENS6Q的临床重要的最小差异.
结论:
- 较低的轮/管增大是空鼻综合征的有效治疗方法.
- 这种手术不仅可以改善鼻腔症状,而且在ENS患者中对心理并发症 (如焦虑和抑郁) 产生积极影响.
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