鉴定孤立的状鼻炎中轨道并发症的危险因素
Shiaw-Yu Chang1, Chi-Che Huang1,2, Yu-Hsi Fan1
1Division of Rhinology, Department of Otolaryngology, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan 333, Taiwan.
Medicina (Kaunas, Lithuania)
|January 23, 2024
概括
孤立的状鼻炎可以导致轨道并发症. 在CT扫描中,患有糖尿病,恶性瘤或骨衰变的患者面临更高的风险,需要积极的管理.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 眼科医生 眼科 眼科
- 放射学 放射学是一门学科.
背景情况:
- 孤立的状鼻炎带来了轨道并发症的风险,因为它靠近重要结构.
- 早期识别高风险患者对于及时和积极的管理至关重要.
研究的目的:
- 为了确定有轨道并发症高风险的孤立状鼻炎患者的临床和计算机断层扫描 (CT) 特性.
主要方法:
- 对118名患有孤立状鼻炎的患者进行了回顾性审查,这些患者接受了内镜性鼻手术 (2005-2022年).
- 分析临床数据和CT特征,以确定轨道并发症的预测因素.
主要成果:
- 12.7%的患者出现了轨道并发症 (例如双眼视,视力损伤).
- 头痛,面部疼痛,糖尿病,恶性瘤和CT上的骨衰变与轨道并发症显著相关.
- 糖尿病,恶性瘤和骨衰变是轨道并发症的重要预测因素.
结论:
- 头痛和面部疼痛是孤立的状鼻炎的常见症状.
- 伴随性疾病,如糖尿病或恶性瘤,以及CT上的骨脱落,增加了轨道并发症的风险.
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