患有鼻息肉的慢性鼻炎的手术:最新情况
M Fieux1, C Rumeau2, G De Bonnecaze3
1Service d'ORL, d'otoneurochirurgie et de chirurgie cervico-faciale, hospices civils de Lyon, centre hospitalier Lyon Sud, 165, chemin du Grand-Revoyet, 69310 Pierre-Bénite, France; Université de Lyon, université Lyon 1, 69003 Lyon, France; Université de Paris Est Creteil, Inserm, IMRB, CNRS ERL 7000, 94010 Créteil, France.
手术有效地改善了慢性鼻炎与鼻息肉 (CRSwNP) 的生活质量和气味. 虽然修订率在4年内为10-15%,但疾病控制可以持续十年以上,尽管手术标准需要更清晰的定义.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术管理的手术管理.
- 鼻科 鼻科是指鼻科的专家.
背景情况:
- 具有鼻息肉的慢性鼻炎 (CRSwNP) 显著影响患者的生活质量.
- 在当前的文献中,CRSwNP管理的最佳外科治疗指示仍在争论中.
研究的目的:
- 评估与鼻息肉 (CRSwNP) 结合的慢性鼻炎的外科指示和结果.
- 综合目前关于CRSwNP手术后疗效和长期控制的证据.
主要方法:
- 在PubMed (2006-2021) 上进行了系统的文献搜索,使用关键词"鼻"和"手术".
- 根据"没有元分析的合成" (SwiM) 的指导方针,选择和分析了39篇出版物.
主要成果:
- 手术证明了改善CRSwNP相关生活质量的有效性 (SNOT-22得分).
- 大约50%的患者经历了手术后改善的嗅觉功能.
- 手术修复率在4年内为10-15%,疾病控制的潜力超过10年.
结论:
- 手术干预为CRSwNP患者提供了显著的功能益处.
- 建议更明确的手术干预标准,例如医疗治疗失败.
- 证据不足以确定任何特定的外科技术的优越性.
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