结合气球尤斯塔基管整形/内镜鼻手术,用于慢性鼻炎和尤斯塔基管功能障碍患者
Cheng-Yu Hsieh1,2, Wei-Chieh Lin1, Chung-Ching Lin1,2
1Department of Otolaryngology, Head and Neck Surgery, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan.
International forum of allergy & rhinology
|March 11, 2024
概括
气球尤斯塔基管整形 (BET) 结合内镜外科手术 (ESS) 显著改善了尤斯塔基管功能,并减少了慢性鼻炎和阻塞性ETD患者的耳部症状.
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.
- 手术创新 在外科创新.
背景情况:
- 慢性鼻炎 (CRS) 通常与阻塞性尤斯塔希管功能障碍 (ETD) 共同存在.
- 气球尤斯塔基管整形 (BET) 作为内镜腔外科手术 (ESS) 辅助治疗阻塞性ETD的CRS的疗效需要进一步阐明.
研究的目的:
- 评估BET与ESS结合的作用和有效性,用于患有慢性鼻炎和阻塞性尤斯塔基管功能障碍的患者.
主要方法:
- 一项随机对照试验,涉及50名被诊断患有CRS和阻塞性ETD的患者.
- 患者被分为两组:一组接受ESS/BET联合治疗,一组接受ESS单独治疗的对照组.
- 结果在术后3个月被评估,使用鼻结局测试22,修改的隆德-肯尼迪得分,尤斯塔基管功能障碍问卷-7 (ETDQ-7) 和尤斯塔基管功能测试.
主要成果:
- 与对照组相比,BET组的ETDQ-7得分明显改善 (12.60对6.60).
- 在BET组中,更高比例的患者在ETDQ-7得分上有所改善 (92%对68%).
- 执行BET与ETDQ-7得分的改善显著相关 (OR:5.41).
结论:
- 结合BET和ESS有效地减少了耳部症状,并增强了欧斯塔基管的功能.
- BET是一种潜在的有价值的辅助程序,用于管理具有阻塞性尤斯塔希管功能障碍的慢性鼻炎.
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