在 Septal 穿孔修复后验证的症状结果: NOSE-Perf 尺度的应用
Cullen M Taylor1, Stephen F Bansberg1, Michael J Marino1
1Department of Otolaryngology - Head and Neck Surgery, Mayo Clinic, Phoenix, Arizona, U.S.A.
The Laryngoscope
|February 9, 2024
概括
使用双边粘膜片修复 Septal 穿孔可显著减少鼻腔症状,超过 91% 的患者经历了临床上重要的改善. 鼻腔阻塞症状评估 (NOSE) -Perf尺度有效地测量这些症状变化.
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:
- 鼻腔隔膜穿孔会引起严重的症状,影响生活质量.
- 鼻腔阻塞症状评估 (NOSE) -Perf尺度是为了量化这些症状而开发的.
- 在隔膜穿孔修复后评估症状变化对于评估治疗疗效至关重要.
研究的目的:
- 应用NOSE-Perf尺度来评估隔膜穿孔修复后的症状变化.
- 评估双边鼻膜片修复与隔膜穿孔插入移植的疗效.
- 为了确定影响治疗后症状结果的因素.
主要方法:
- 对117名接受隔膜穿孔修复的患者进行了回顾性研究,使用双边鼻膜片.
- 术前和术后 (≥6个月) 收集了NOSE-Perf得分.
- 对患者人口统计学,穿孔大小和并发程序的分析,以影响结果.
主要成果:
- 观察到NOSE-Perf平均得分从25.3 (手术前) 到7.9 (术后) 的显著降低.
- 超过91%的患者取得了超过临床重要差异最小值的改善.
- 患者年龄,穿孔大小和并发手术并没有显著影响结果.
结论:
- 双边粘膜片修复导致鼻腔隔膜穿孔患者显著减轻症状.
- NOSE-Perf尺度证明了对隔膜孔修复的标准化结果评估的实用性.
- 虽然没有完全正常化,但临床上有意义的改善是常见的后修复.
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