在内镜外科手术后,慢性鼻炎与鼻的复发的危险因素:一项回顾性研究
Yahya A Fageeh1, Mohammed A Basurrah1, Khalid T Hakami1
1From the Otolaryngology - Head & Neck Surgery (Fageeh, Basurrah), College of Medicine; and College of Medicine & Surgery, (Almalki, Alnemari, Altalhi) Taif University; and from the Department of Otolaryngology, Head & Neck Surgery (Hakami), Alhada Armed Forces Hospital, Taif City, Kingdom of Saudi Arabia.
Saudi medical journal
|November 28, 2023
概括
喘是慢性鼻炎的重要危险因素,手术后鼻的复发. 吸烟和不完整的初始手术也增加了修复手术的需要.
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:
- 带鼻息肉的慢性鼻炎 (CRSwNP) 在内镜性鼻手术 (ESS) 后经常复发.
- 确定预测复发的因素对于改善患者的治疗结果至关重要.
研究的目的:
- 调查导致CRSwNP在ESS后复发的病理生理因素.
- 为了比较复发性和非复发性CRSwNP患者之间的临床和成像发现.
主要方法:
- 对134名为CRSwNP接受ESS的患者进行了回顾性研究.
- 人口统计,风险因素,解剖变异,临床特征和隆德-麦基分数的比较.
- 24个月的随访,以评估复发情况和修复手术的需要.
主要成果:
- 喘患病率在复发组显著更高 (73.9%对29.2%).
- 双边的息肉在复发组中更常见 (95.7%vs80%).
- 需要修复手术的患者之间,吸烟和初级ESS的程度不同.
结论:
- 喘是CRSwNP复发的一个关键风险因素.
- 吸烟和低于最佳的初级ESS增加了需要修复手术的可能性.
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