在中部部位亚托皮性疾病患者内镜性鼻手术的结果
Yuanyuan Guo1,2, Zhiying Nie2, Chuxin Chen1,2
1Otorhinolaryngology Hospital, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
The World Allergy Organization journal
|February 5, 2024
概括
中部部位性疾病 (CCAD) 患者在内镜鼻手术 (ESS) 后经历了良好的结果. 然而,带有鼻息肉的慢性鼻炎和同时出现的中部病区疾病 (CRSwNP/CC) 在ESS后显示出较低的疾病控制率.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的结果
- 慢性犀牛鼻炎是什么
背景情况:
- 中部部位性疾病 (CCAD) 是慢性鼻炎 (CRS) 的一种特定亚型.
- 有限的研究存在于内镜鼻手术 (ESS) 对CCAD的结果.
- 本研究将CCAD中的ESS结果与其他两种CRS亚型进行比较:CRSwNP/CC和CRSwNP NOS.
研究的目的:
- 为了评估ESS在CCAD患者的结果.
- 为了比较CCAD,CRSwNP/CC和CRSwNP NOS之间的ESS结果.
- 为了评估疾病控制,内镜评分和手术后一年的症状缓解.
主要方法:
- 一项涉及138名双边CRSwNP患者的病例控制研究,接受ESS并跟踪至少一年.
- 患者被分为CCAD,CRSwNP/CC和CRSwNP NOS组.
- 收集的数据包括人口统计,手术前的严重程度和术后的结果 (疾病控制,内镜评分,症状评分).
主要成果:
- 在84.3%的CCAD患者,69.1%的CRSwNP/CC患者和93.7%的CRSwNP NOS患者中实现了适当的疾病控制.
- 观察到内镜E分数的显著差异,CRSwNP/CC的分数比CCAD和CRSwNP NOS更差.
- 手术后的嗅觉得分有显著差异,但其他症状得分 (阻塞,鼻,头痛) 在两组之间没有显著差异.
结论:
- 大多数CCAD患者在ESS后一年实现了良好的外科结果.
- CRSwNP/CC组在ESS后表现出最低的适当疾病控制率.
- 可能需要进一步的研究来优化CRSwNP/CC的治疗策略.
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