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功能性内镜鼻腔外科手术对慢性鼻炎患者的功能和症状结局的影响:一个跨部分研究

K P Migha¹, Rajan Kezhaeplackal Vasu¹, Anjana Mary Reynolds¹

¹Department of ENT, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala India.

Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

|November 17, 2023

概括

功能性内镜鼻腔手术 (FESS) 显著改善慢性鼻炎 (CRS) 患者的症状和鼻功能. 这项研究表明,FESS有效地恢复了粘膜细胞功能,并为CRS治疗提供了出色的结果.

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.
医学研究医学研究

背景情况:

慢性鼻炎 (CRS) 带来了显著的症状负担,医疗保健成本和生产力损失.
诊断CRS包括至少12周的特征症状和鼻炎症.
功能性内镜鼻手术 (FESS) 是推的CRS的最小侵入性治疗方法.

研究的目的:

在CRS患者中评估FESS后的功能和症状结果.
为了同时评估手术后的主观和客观改善.
为了比较手术前和手术后的鼻膜干净度,通透度和生活质量得分.

主要方法:

一项基于医院的横截面研究,涉及40名接受FESS的CRS患者 (20-60岁).
手术前的测量包括糖过境时间 (STT),峰鼻鼓动流速 (PNIFR) 和中鼻结局测试 (SNOT-22) 的得分.
在1,3,6个月的术后随访中,使用弗里德曼的ANOVA测试评估了功能和症状的结果.

主要成果:

在FESS后的STT,PNIFR和SNOT-22得分中观察到统计学上显著的改善 (P <0.05).
这项研究分析了55%的带鼻多 (CRSwNP) 的慢性鼻炎和45%没有 (CRSsNP) 的病例.
在手术后的1,3个月和6个月,在功能和症状结局方面均有显著的改善.

结论:

对于CRS患者来说,FESS可以显著改善功能和症状的结果.
这种手术有效地恢复了粘膜功能,这是鼻子健康的关键方面.
证实FESS是慢性鼻炎的优秀和有效的治疗选择.

关键词:

慢性鼻炎是什么意思慢性鼻炎功能性内镜鼻外科手术粘膜细胞的清除.峰值鼻腔吸气流量是指鼻腔吸气流量的峰值.糖的过境时间中鼻结局测试 22 分数得分

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