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在阿司匹林加重呼吸道疾病的患者中量化外科完整性
Marc Levin1, Yvonne Chan1, Doron D Sommer2
1Division of Rhinology, Department of Otolaryngology - Head and Neck Surgery, St. Michael's Hospital, Unity Health Toronto, University of Toronto, 30 Bond Street, 8 Cardinal Carter, Toronto, ON, M5B 1WB, Canada.
概括
治疗阿司匹林加剧性呼吸道疾病 (AERD) 的手术往往是不完整的,特别是中间轮减少. 需要进一步的研究来确定更全面的鼻外科手术是否可以改善AERD患者的疾病控制.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 免疫学 免疫学 免疫学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 阿司匹林加重呼吸道疾病 (AERD) 在鼻手术后的患者中提出了管理挑战.
- 虽然阿司匹林脱敏和生物药物是可选的,但更全面的先前手术的必要性尚不清楚.
- 这项研究旨在量化AERD患者先前鼻手术的完整性.
研究的目的:
- 评估在被诊断患有阿司匹林加重呼吸道疾病 (AERD) 的患者之前的鼻手术的完整性.
- 评估在AERD患者之前的手术中中间轮减少的程度.
- 在AERD管理中建立外科完整性的基准.
主要方法:
- 对61名AERD患者的鼻CT扫描进行了回顾性审查.
- 四名学术鼻科医生使用标准化CT分级系统评估了手术完整性和中间轮减少.
- 每位患者的完整度得分为14分之一.
主要成果:
- 之前手术的平均完整度得分为14.7分中的6.7分.
- 像uncinatectomy (84% L, 82% R) 和大肠静脉切除 (83% L, 77% R) 这样的手术经常被评为完成.
- 中间轮缩减 (45%L, 46%R) 和形/形/额头鼻手术的完成率较低.
结论:
- 在AERD患者之前的鼻手术通常被发现是不完整的.
- 切除术和大肠静脉切除术是最常执行的手术.
- 需要进一步调查,以确定"充足"与更"完整"的手术是否对于最佳的AERD疾病控制是必要的.
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