在接受功能性内镜鼻腔手术的患者中评估鼻腔阻塞
Mayank Gupta1, Amrita Srivastava1, Preeti Kanaujia2
1Department of ENT, G.S.V.M. Medical College, Kanpur, U.P. India.
概括
功能性内镜外科手术 (FESS) 在慢性鼻炎患者中显著改善了鼻腔阻塞. 使用视觉模拟量表,鼻腔测量和内镜进行的评估证实了手术后呼吸和鼻健康的改善.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 慢性鼻炎 (CRS) 经常导致鼻腔阻塞,影响生活质量.
- 对医疗管理没有反应的患者通常需要功能内镜鼻手术 (FESS).
- FESS被认为可以改善CRS患者的主观幸福感和客观内镜检查结果.
研究的目的:
- 评估和比较FESS在缓解鼻腔阻塞方面的有效性.
- 评估CRS患者FESS的主观和客观结果.
- 为了将患者报告的症状与术后客观诊断措施相关联.
主要方法:
- 一项前性研究,涉及接受FESS的CRS患者.
- 使用视觉模拟量表 (VAS) 进行主观症状评估.
- 雇员鼻腔测量和诊断鼻腔内镜 (DNE) 用于客观评估.
- 在基线和手术后的1,3,6个月收集的数据.
主要成果:
- 通过FESS后的VAS报告的主观鼻阻塞的显著改善.
- 目标DNE揭示了手术后健康的鼻与足够的排水.
- 鼻腔测量显示了鼻腔抵抗的统计显著减少 (P < 0.05).
结论:
- 在CRS患者的VAS测量中,FESS产生了有利的主观结果.
- 通过FESS,可以实现鼻健康和气流的客观改善.
- 综合主观和客观数据支持FESS作为CRS相关鼻腔阻塞的有效治疗方法.
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